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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. Northern Rockies Surgery Center: facility fee for surgical procedure 406-248-7186.
  2. Your anesthesiologist: his/her fee for providing anesthesia services during your surgery.
  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. Your laboratory services: laboratory services for tissue specimens removed during your surgery.

Full payment is due within 60 days from your date of service.  Please contact your insurance company directly if you experience any delays.  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 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 406-248-7186 if you encounter a problem with your insurance company and need our assistance.

Northern Rockies Surgery Center's policy is to turn over to an attorney or collection agency all accounts which are delinquent.  You will be responsible for any collection fees that are incurred.

We utilize TransWorld Systems for pre-collection efforts and Credit Bureau of Billings Collections, Inc. (406-245-2040) for straight-collection efforts as our collection agencies.                                  

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BILLING/COLLECTIONS

THE Northern Rockies Surgery Center WILL BILL AS FOLLOWS:

 
Blue Cross & Blue Shield of Montana (BC/BS)
Your copay, co-insurance and/or deductible amount is due on or before your date of service.  We will submit your bill directly to Blue Cross & Blue Shield of Montana.  A bill will be sent to your secondary insurance upon receipt of payment or denial from BC/BS.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from BC/BS.  We must make a copy of each insurance card at the time of registration.


Medicaid (Montana Medicaid & Wyoming Medicaid
Your copay amount is due on or before your date of service.  We will submit your bill directly to Medicaid.  We must make a copy of each insurance card at the time of registration.

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Auto Insurance/Worker’s Compensation
We will submit your bill directly to your auto insurance/employer/worker’s compensation insurance if your procedure is the result of an accident.  We must make a copy of your insurance card, be provided with your claim number, date of accident, and insurance claim address at the time of registration.  Worker’s compensation procedures must be pre-authorized by the Worker’s Compensation carrier prior to the date of the procedure.

MEDICARE
We accept assignment of benefits. We must make a copy of each insurance card at the time of registration.

Managed Care/Preferred Provider Organization (PPO)/Health Maintenance Organization (HMO)
Your copay, co-insurance and/or deductible amount is due on or before the date of surgery.  We will submit your bill directly to your insurance company.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your insurance.  If you have no secondary insurance, a bill will be sent to you for any remaining balance after receipt of payment or denial from your insurance carrier.  We must make a copy of each insurance card at the time of registration.

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PRIVATE INSURANCE   
Your copay, co-insurance and/or deductible amount is due on or before your date of service.  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.

SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery.  A down payment equal to 1/2 of the total estimated amount due is expected.  You will be asked to complete a financial agreement.  The remaining balance will be due within 90 days from your date of service.

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY  
Payment in full must be received on or before the date of surgery.  No same-day discount can be made for a cosmetic surgery procedure.

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NOTICE TO PATIENTS

At Northern Rockies Surgery Center we share your concerns about health care safety.  The staff and healthcare professionals are committed to providing the best care for you and your family.  We ask you and your families to join us to make sure that our care meets your needs.  We encourage you to let us know when it does not.  It will help us to know how we can improve our health care services to our patients.

If you have comments, questions or concerns during your stay, please ask to speak with one of our management team or you may call 406-248-7186.

If you feel that your concerns were not resolved, you may contact our state licensing agency:

Montana Department of Public Health & Human Services
Attn:  LaDawn Whiteside, Complaint Coordinator
Quality Assurance Division Certification Bureau
2401 Colonial Drive
PO Box 202953
Helena, MT  56920
406-444-4463

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