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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 other than Northwest Surgicare.
  1. Surgeon perfoming your procedure
  2. Anesthesiologist 
  3. Pathologist - services for tissue specimens removed during surgery requiring further examination.
  4. Durable Medical Supply 

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 847-259-3080 if you encounter a problem with your insurance company and need our assistance.

Northwest Surgicare'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. 
                 

BILLING/COLLECTIONS

THE NORTHWEST SURGICARE WILL BILL AS FOLLOWS:

MEDICARE
We accept assignment of benefits.

PRIVATE INSURANCE   
Your copay 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
Contact 847-259-3080 for an estimated procedure cost for your surgery.  Please note that these are estimated costs and any additional procedures performed by your surgeon will be billed to you.  To take advantage of a 20% discount, full payment must be made on or before the date of service by cashier’s check or credit card.

COSMETIC SURGERY 
Payment in full must be received prior to your scheduled surgery.  We accept cash and all major credit cards.  Please note that these are estimated costs based on operating room time and any additional operating room time will be billed to you.    

CARE CREDIT FINANCING IS ACCEPTED FOR ALL BALANCES DUE NORTHWEST SURGICARE.  CONTACT THE BUSINESS OFFICE  

ANESTHESIA

Charges for anesthesia is billed by "Advanced Ambulatory Anesthesia"


NOTICE TO PATIENTS

Click here for the Illinois state legal notice regarding complaints.