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Credit & Payment Policy

There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.

  1. The Laguna Niguel Surgery Center
  2. Your anesthesiologist
  3. Your surgeon's office - his/her fee for performing your surgery.
  4. Your pathologist - services for tissue specimens removed during surgery requiring further examination.
  5. Please note that YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you, our patient, not your insurance company. Consequently, all charges incurred are ultimately your responsibility. The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do. You should normally receive a response from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. Please call our Business Office at 949-855-0562 if you encounter a problem with your insurance company and need our assistance.

BILLING/COLLECTIONS

MEDICARE
We accept assignment of Medicare benefits.

PRIVATE INSURANCE
Your copay amount is due before your surgery. We will submit your bill directly to your private insurance company. A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company. We must make a copy of each insurance card at the time of registration.

CLAIMS SUBMISSION
Your insurance copay amount and deductible are due prior to your date of service. We will submit your bill directly to your insurer. A bill will be sent to your secondary insurance carrier upon receipt of payment or denial from the primary payer. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurer. We must make a copy of each insurance card at the time of registration.

SELF PAY AND COSMETIC SURGERY
You will be contacted prior to your surgery date with a cost for your surgery. Payment in full by cash, money order or credit card must be received on or prior to surgery date. Personal checks must be recevied 10 days prior to surgery date.

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY
Payment in full must be received 10 days prior to surgery.


NOTICE TO PATIENTS