Insurance and Billing
Sunrise Ambulatory Surgical Center accepts most major insurances. As a courtesy to you, we will bill your insurance carrier for you; however, we cannot tell you what your policy will cover. Since your insurance policy and coverage is between you and your carrier, we urge you to contact them prior to your procedure. You will be responsible for any co-pays and/or deductibles. We accept cash, check or credit card. You will receive an easy to understand, all-inclusive bill for the services provided at Sunrise Ambulatory Surgical Center. You can also expect a bill from your surgeon and anesthesiologist.
The Cost of Your Procedure
Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.
You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients). Many health insurance websites also provide information on where to find in-network services.
A High-Deductible Health Plan (HDHP) is a plan with a higher deductible than a traditional health insurance plan.
A High Deductible Health Plan (HDHP) can be a wise way to save money on health insurance and take a proactive role in your healthcare.
Health insurance is an agreement between you and an insurance company of your choosing.
We may accept assignment of insurance benefits for your visit. However, you remain responsible whether your insurance company pays or not. Your policy is a contract between you and your insurance company. We are not a party to that contract. If your insurance company has not remitted payment within 45 days, the balance may be automatically be billed to you.
Deductibles & Co-Pays
All co-pays and deductibles are due prior to your surgical procedure.
The adult accompanying a minor and the parents (or guardians of the minor) are responsible for full payment. For unaccompanied minors, treatment will be denied until a parent or legal guardian is present, to accept financial responsibility.
Sunrise Ambulatory Surgical Center offers discounted fees as means of making our services more accessible to those without sufficient medical coverage, and for patients who seek an alternative to otherwise high deductibles and significant patient responsibility when using their existing insurance.
After discussing your financial options with one of our billing representatives, you may decide that this choice is right for you. If so, please understand that certain rules will apply:
- Discounted prices are not eligible for payment arrangements
- Balance must be paid in full prior to your procedure.
- Your insurance company will not be billed by Sunrise Ambulatory Surgical Center, LLC. As a result, any amounts paid to us may not apply to your insurance deductible or other benefits.
- No insurance claim forms or billing information will be generated, as this is a cash transaction.
As you prepare for your procedure, we want to make sure you understand how you will be billed for the services you receive. At a minimum, you will get three separate bills. Depending on your specific procedure, you may also get additional bills. The success of your procedure depends on a team effort by many dedicated professionals, including those in our center. Because government and insurance rules do not permit us to bill or collect money for team members, each portion of the team must send you a separate bill and collect payment from you individually
We realize that these multiple bills can be confusing. Our staff will do their very best to help you with questions and guide you to the proper sources of information. If you require any assistance, please contact us at (928) 532-3010.
Here is an explanation of the types of bills that you may receive:
Surgery Center's Bill
You will get a bill from us for what is known as the facility fee. This fee is for the staff and equipment we provide for your safe and successful experience here. Questions and payments regarding your surgery center billing should be addressed at this office.
Your procedure will be performed by a surgeon. Since this physician is not an employee of our surgical center, he/she will bill you separately for your procedure. The physician's bill, along with any questions pertaining to it must be addressed to that office.
Anesthesia Provider's Bill
If you receive anesthesia from an anesthesiologist or CRNA during your procedure, you will receive a separate bill for these services as well. Please address all questions and send all payments to your anesthesia provider's billing office. The anesthesia billing office for Dr. David Kies can be reached at (480) 874-7014. The anesthesia billing office for Dr. Robert Shupak and the CRNAs of Northeastern Anesthesia can be reached at (800) 477-6770.
Depending on several factors related to your particular procedure, you may receive services for which you will get additional bills. These may include:
- Durable Medical Equipment (such as crutches, braces, etc)
- Laboratory Fees
Verify Insurance Information
We cannot bill your insurance company unless you provide us with your complete insurance information. Please remember to provide us with copies of your insurance cards. Also, please take the time to review your paperwork when checking in. Avoiding errors helps to ensure that your claim is paid promptly.
Avoid Mystery Payments
When making a payment to us, please remember to write your account number on your check. This will help us to identify the proper account to which we need to credit.
In certain circumstance, you may need to make payments on your bill. Please call us to make such arrangements. Simply sending us a payment for less than your balance can be confusing, and may result in further collection activity.
It is your responsibility to understand the financial implications of your surgery. Take the time to learn how your insurance plan is going to cover your procedure, and how much you may owe after they have paid. Here are some great questions to ask your insurance before your surgery:
- Do I have a deductible which will apply for this procedure?
- If so, how much is remaining?
- Do I have a co-payment for outpatient surgery? If so, how much is it?
- What is my co-insurance percentage for outpatient surgery?