Credit & Payment Policy
Pre-Certification, Referral from your PCP and/or Authorization is your responsibility to completed prior to your visit at our center, when required by your insurance. Contact your insurance company if you are not sure whether these are required. If you need our assistance in the process please contact our business office.
Estimated patient/guarantor balance is determined after your benefits are obtained from your insurance company. We will call to notify you of your estimated balance due for your services. At this time you may be asked to bring in all or part of the estimated balance. Your actual balance due will be determined when payment is received from your insurance company.
Workers Compensation Claim and Third Party Liability claim require verification from the claims adjuster that the procedure has been approved, prior to the date of service. We, also, request that you provide us with your group medical insurance, in the event that all or part of your claim is not covered by Workers Compensation or the Third Party payer.
Patient/Guarantor is responsible for promptly responding to request for additional information from our office, your medical insurance company, Workers Compensation payer and/or Third Party payer. If response is not received timely you will be held liable for payment of claim.
Self Pay claims are to be paid in full prior to or at the time of service.
Patient/Guarantor balances, after your insurance company has paid or denied your bill, you will be billed for the remaining balance. If you are not able to pay this balance in full within 90 days, you need to contact the business office at 847-367-8100. They will work with you to set up a payment plan to resolve the balance in an acceptable time frame.
Park Ridge Anesthesia provides the anesthesia services at are facility, if you have questions regarding this service, please call Park Ridge Anesthesia at 800-242-1131 ext 5319.