General Financial Information
Red Lion Surgicenter is committed to providing you with the best possible care. If you have medical insurance, we are anxious to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our payment policy.
There are separate charges for the facility, the physician/dentist/surgeon, and anesthesia.
As part of the Red Lion Surgicenter’s patient rights and responsibility guidelines, we believe you have a right to know how we file for reimbursement, and what your financial responsibility is to us prior to your surgery.
We participate with many third-party payers, including Aetna, Aetna Better Health, Independence Blue Cross/Blue Shield, Cigna, HealthPartners, KidzPartners, Keystone First, UnitedHealthcare, UnitedHealthcare Community Plan, and PA Access. If you do not see your insurance plan on our list, please contact the Red Lion Surgicenter directly.
PARTICIPATION means we follow the carrier’s guidelines for the amount determined payable on a given claim, minus any deductibles, co-pays, or co-insurance due from the patient. If, during the verification process, it is discovered that an out-of-pocket expense is due, it must be paid in advance. To assist you in making a payment, Red Lion Surgicenter accepts Visa, MasterCard, American Express, Discover, and CareCredit.
Pre-Approval Process
Your insurance coverage will be verified prior to the date of your procedure. A patient account representative will contact your insurance carrier to:
- Verify approval for the medical necessity of the treatment.
- Confirm that a valid referral is on file, if required.
- Determine co-pay/co-insurance or deductible liability if possible.
- Verify your eligibility and benefits.
Day of Surgery
On the day of surgery, it is vital that you bring your most updated insurance card(s) along with photo identification. When needed, we do our best to obtain all referrals prior to the appointment. If we are unable to obtain a referral, it is your responsibility to bring it to the appointment.
If you are insured by a managed care payer, it is a requirement that you have a referral. Your primary care physician’s office should provide you with a referral indicating surgery to be performed at Red Lion Surgicenter. If you do not bring that referral, it may potentially postpone or cancel your procedure.
Patients Without Insurance
If you are not covered by an insurance carrier, we ask that you speak with a Red Lion Surgicenter representative prior to treatment to discuss your financial situation. It is the policy of the center to request payment in full prior to the date of service.
Past Due Accounts
Please remember that when you receive our statements, you have already received quality healthcare and your insurance has been initiated by us. We would ask that you pay promptly upon receiving your statement.
If you are not able to pay your account in full, please contact one of our patient account representatives to avoid the collection process (267) 343-4280. If it becomes necessary, past-due accounts will be turned over to a collection agency.
If You Have Questions
Red Lion Surgicenter is committed to providing the highest quality of care to patients who require surgery. The center will take all necessary steps to insure appropriate reimbursement for all procedures performed at our facility.
If, at any time, you have specific questions regarding our reimbursement policy, do not hesitate to contact one of our patient account representatives.
BUSINESS OFFICE HOURS/ADDRESS:
Monday through Friday
8:00 AM – 5:00 PM
Red Lion Surgicenter
240 Geiger Road
Philadelphia, PA 19115
(215) 676-2232
FAX (215) 676-7130
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