As a courtesy to you, we are happy to file all insurances as long as we have the address and a completed claim form if one is required. If we do not have the address or required form, we will send the insurance claim form to you for filing.
We participate with many insurance companies, but it is the patient’s responsibility to contact their own insurance to see if our practice participates.
Payment of your co-payment is expected at the time service is provided. We accept cash, check, MasterCard, Visa, Discover Card, and American Express. You are responsible for the balance of your account; however, we prefer that you pay your portion only after insurance has paid or denied your claim. When possible, payment in full is appreciated. If payment in full is not feasible, a payment plan agreement can be arranged by calling our office.
It is the responsibility of all patients to contact their primary care physician to obtain referrals, both to this office and for any testing ordered by this office. We accept no responsibility for denied claims due to unauthorized referrals. Many health maintenance organizations (HMOs) and insurance plans now require pre-certification or a second opinion for certain procedures. If yours is one of these companies, it is your responsibility to obtain the proper approval.
Please keep in mind that services are rendered to a person, not an insurance company. Hence, the insurance company is responsible to the patient and the patient is responsible to us. The statement you receive from us will be for our charges only. If you were seen at the hospital or had pathology or X-rays done, you will receive a separate bill for these services.
Please contact the appropriate office with questions concerning your bills. We are available to assist you with your bill in any way we can.
Understanding the Billing for Your Procedure
If you are scheduling a colonoscopy you will want to know what kind of colonoscopy you are being scheduled for as this will make a difference in how your insurance processes the claim.
A screening colonoscopy is defined as a procedure performed on an individual without symptoms or a personal/family history every 10 years, to test for the presence of colorectal cancer or polyps.
Surveillance colonoscopy is a subset of screening, performed at an interval less than the standard 10 years from the last colonoscopy due to findings of cancer or polyps on the previous exam.
A diagnostic colonoscopy allows physicians to evaluate symptoms, such as anemia, rectal bleeding, abdominal pain, diarrhea, etc.
The Healthcare Reform Law states a screening colonoscopy must be covered at 100% every 10 years for individuals beginning at age 50. The American Medical Association now recommends colorectal screening beginning at age 45. Insurance companies must follow the Healthcare Reform Laws, they are not mandated to follow the recommendation of the American Medical Association. It is, therefore, important for you to know what kind of colonoscopy you are being scheduled for, so that you may contact your insurance policy to see how your benefits will apply.
Important questions you should ask:
1. Will my policy cover a colonoscopy at 100% if I have a family/personal history colorectal cancer or polyps?
2. Will my policy cover a surveillance colonoscopy sooner than 10 years after my last colonoscopy?
3. Is there an age restriction on a screening colonoscopy? Will my policy cover a screening colonoscopy under the age of 50?
Please be aware, we WILL NOT change the coding of your procedure after the claim is filed.
If you are receiving bills from other agencies, please contact those agencies directly.
We offer CareCredit for your financing convenience. This service is interest-free. To learn more or apply for a loan, visit their website If you have questions, please give our billing office a call today.