Patient Financial Responsibility

We appreciate your selection of the North Platte Surgery Center for your outpatient procedure. We will do all we can to provide you with the best of care. Please review the following financial responsibilities, and if you have any questions please do not hesitate to contact us.

• It may appear that we ask for a lot of information when you register. However, the information we ask for is important to your care and making sure that insurance matters are addressed properly. Please advise us of any changes in address, phone number, marital status, place of employment, or insurance that have occurred since your last visit, or since this procedure was scheduled. It is your responsibility to provide us with your current insurance information.

• As a courtesy to our patients, we will submit medical claims to your primary and secondary insurance carriers, including Medicare. We are always here to assist you, but once again we rely on you to provide us with current insurance information.

• You will not receive a bill from the North Platte Surgery Center until your insurance provider has processed your claim. If your insurance does not cover the full amount of the bill you will receive a bill for the remainder of the charge. It is your obligation to pay this within 30 days. A statement of your account is sent to you monthly. You are ultimately responsible for all fees related to your care.

• You will receive separate bills from the different providers involved in your care. North Platte Surgery Center charges do not include the fees for your surgeon, or other ancillary services such as laboratory, radiology or pathology. So, you can usually expect to see at least three bills for your procedure – one from your physician, two separate bills from the North Platte Surgery Center, one for the procedure and one for the anesthesia provider. If your procedure requires lab testing or pathology, you will also receive separate billings from those providers.

• Your health insurance policy is an agreement between you and your health insurance carrier. If you feel that your insurance provider handled your claim incorrectly, please contact your insurance company directly.

• We wish to stress that financial responsibility for services rendered is ultimately the responsibility of the patient or his or her family regardless of the nature or extent of insurance coverage. If your insurance provider does not pay your bill in a timely manner, you will be responsible for payment of the bill. If you pay a bill that is later paid by your insurance company, you will be refunded any overpayment.

• We will file worker's compensation claims and liability claims. However, if the claim is denied, unsettled, or remains a disputed workman's compensation claim for more than 60 days, we will request that you file a personal health insurance claim or pay the charges in full. If the situation becomes a legal matter, you are still ultimately responsible for the payment of charges.

For questions, please contact our business office at 308-534-8800.

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