Additional Billing Information
Please contact our Business Office if you have specific questions about your account.
You will need to bring your driver’s license or another valid picture ID, all medical insurance ID cards, and payment for the anticipated patient balance. We will make a copy of your ID and insurance cards at that time.
Ambulatory Surgical Facility fees are based on the procedure(s) performed by the surgeon. The facility is reimbursed one set amount, plus in some cases, charge(s) for implants that remain in the body. The room, supplies, medication, pre-op and post-operative care is not separately itemized on your bill.
A Southwest Surgical Center billing representative will contact your insurance company to verify your eligibility and benefits. Precertification and prior authorization requirements for the scheduled procedure are checked and secondary payers are verified when applicable. You are encouraged to verify benefits for your specific plan by calling the Member Services phone number on your insurance card.
We will file a claim to your insurance payer for processing. If there is a balance remaining, a claim will be filed to secondary and tertiary payers if you have additional coverage.
At the time of insurance verification, the anticipated patient out-of-pocket amount is calculated based on the scheduled procedure, the insurance plan and deductible, and coinsurance amounts. Final patient responsibility is determined at the time of insurance claim processing. You will be contacted with the anticipated out-of-pocket amount by the Southwest Surgical Center billing representative by text, email, United States Postal Service or by phone approximately one week prior to surgery. This is the amount due when you register on the day of your procedure. Patient cost share amounts not known prior to surgery may be billed after the insurance finalizes your claim.
Participation with a payer requires us to accept what that insurance allows for a procedure. The difference between our usual charge and the insurance allowed amount is adjusted. Patients may still have out-of-pocket expenses to pay due to deductible, copay, and/or coinsurances according to their plan.
Southwest Surgical Center accepts cash, check, or credit card (Visa, Master Card, Discover, and American Express) for payment. Contact a Southwest Surgical Center billing representative for additional information at 616-685-3975.