Billing Options

Insurance and Billing

We understand you may have questions or concerns about our billing and insurance process. Please use this section to learn about what is expected of you as the patient and from your insurance provider(s).

Prior to your surgery date, you'll be contacted regarding your insurance coverage. A co-insurance and/or deductible will be collected on the day of your surgery. After surgery, we will file insurance claims for you. We'll ask you to sign an “assignment of benefits” form so that the check comes directly to our billing office. The bill will not include the services of your surgeon or anesthesiologist or any laboratory or pathology fees. These services are billed separately. If you have any questions or concerns regarding your bill, please contact our Business Office at 602-795-6020 ext. 6014, Monday-Friday, 7:30am to 4:00pm.

There will be a number of separate charges accompanying your surgical procedure. Depending on your procedure, you may receive charges from different facilities and providers including:

• The CORE Institute Specialty Hospital for your hospital services
• The anesthesiology
• Your surgeon’s office for the fee for performing the procedure.
• The pathology physician group if tissue specimens were removed during surgery that require additional examination
• Any extended home care services you may need

Payment for the hospital fees is expected upon admission. Any remaining balance as per the Explanation of Benefits from your insurance is due within 90 days from your date of service. Your insurance, as well as Worker’s Compensation, auto (no fault) and personal injury, is legally your responsibility. The relationship we have is with you, not your insurance provider. It is recommended that you contact your Insurance provider to ensure payment will be made in a timely manner. Please call our Business Office at 602-795-6020, extension 6014, if you encounter a problem with your insurance company and need our assistance.

The CORE Institute Specialty Hospital’s policy is to turn over all delinquent accounts to an attorney or collection agency. You will be responsible for any collection fees that are incurred. We utilize Transworld Systems Inc. as our collection agency.

The CORE Institute Specialty Hospital's billing process is as follows:

Medicare

Your copay amount will be due on or before your date of service. As a courtesy, we will submit your bill directly to Medicare. A bill will be sent to you for any balance after receipt of payment or denial from your insurance company. If you have secondary insurance, a bill will be sent to your secondary insurance upon final reimbursement notification from your primary insurance. We will make a copy of each insurance card at the time of registration.

Private Insurance

Your copay will be due on or before your date of service. As a courtesy, we will submit your bill directly to your private insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipts of payment or denial from your insurance company. If you have a secondary insurance, a bill will be sent to the company upon receipt of payment or denial from your primary insurance. We will make a copy of each insurance card at the time of your registration.

Self-Pay

You will be contacted regarding an estimated procedure cost prior to your surgery. You will be expected to pay this amount on or before your procedure date. If there are any additional charges, you will receive a statement for those charges on a later date.

Charge Master 2023
Machine Readable File
Self-Pay Rates - Medical Imaging
Self-Pay Rates - OPSurgical
Self-Pay Rates - IPSurgical

Overpayment

Any overpayment of deductibles, co-insurance or copays will be refunded once final payment is received from your insurance providers. Any overpayment or payment made in error by your insurance provider will be refunded back to that payer. Our policy is to refund credit balances in the same form that the payment was made. You may receive a call from our Business Office for credit card information in order to refund your credit balance back to your card since we do not retain credit card information for your protection. If we are unable to obtain the correct information, a check will be issued to the individual who made the payment.

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