Credit & Payment Policy
There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
- Providence Anesthesia Inc.
- Your surgeon’s office – his/her fee for performing your surgery.
- Your pathologist – services for tissue specimens removed during surgery requiring further examination.
- An extended home health care service.
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 401-459-3800 if you encounter a problem with your insurance company and need our assistance.
Blackstone Valley 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.
We utilize TransWorld Systems (1-888-446-4733) and Collection Resources (320-253-8295) as our collection agencies.
THE BLACKSTONE VALLEY SURGICARE WILL BILL AS FOLLOWS:
We accept assignment of benefits.
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.
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. A down payment equal to 1/3 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 10 days prior to surgery.
NOTICE TO PATIENTS
Rhode Island Statutes requires all health facilities which are licensed under the provisions to sections to post a notice of “Patient’s Bill of Rights” in a prominent place in the facility. This notice is posted in the waiting room.
If you have any complaints which arise out of these rights, the Blackstoen Valley Surgicarer maintains a grievance mechanism to resolve them. If you have a complaint you may request a written response. The individual to whom you should address a grievance is:
Ann Dugan, Administrator
Blackstone Valley Surgicare Suite 300
1526 Atwood Avenue
Johnston, Rhode Island 02919
401-459-3800 ext 251
If you wish to direct a complaint to the Rhode Island Department of Health, the address is:
Office of Facility Complaints
Rhode Island Department of Heath
Three Capitol Hill
Providence, RI 02906