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Insurance Matters
Please take a moment to read the following information. Being prepared with all of the right information, we can better serve you with your insurance matters.
Regarding Referrals:
Your insurance plan may require you to have a referral from your primary care physician. Any treatment without the necessary referral may result in denial of payment by the insurance company, which could make it your responsibility for payment for all charges. Please ensure that the proper referral has been obtained if necessary.
Insurance Cards:
When scheduling your appointment or procedure, please provide the office with name of your insurance carrier. Upon verification that we participate with your plan, we will file your charges with your carrier. View Participating Insurance
When you arrive for an appointment or procedure, please be sure to have your insurance card with you. We must make a copy at each visit to ensure that we have the correct information concerning your carrier’s address, phone number and pre-certification requirements. It is your responsibility to inform us immediately if there are any changes to your insurance so that we may bill the appropriate carrier. If you do not notify us and your original carrier denies payment, you may be held responsible for the entire charge for services.
With most participation contracts, we are required to collect the full “allowed” amount. Therefore, you will be expected to pay your co-payment and/or deductible at the time services are rendered. In the event a procedure is necessary, we will estimate our charges, insurance company’s payment, and your co-payment. Your estimated co-payment is due prior to your procedure. In the event of an emergency procedure, you will be allowed 30 days to pay your estimated portion.
Insurance Billing Statement:
When you are scheduled for a procedure at our center, your insurance will be billed for a facility fee from Charleston Endoscopy Center and a professional fee from Charleston Gastroenterology Specialists. In addition, should a biopsy be taken, the specimen will be sent to AP Laboratories or Roper St. Francis for evaluation and your insurance company will be billed from them accordingly. The anesthesia used to sedate you will be administered by a licensed and board certified anesthesiologist. Palmetto Anesthesia of Charleston, LLC will submit a separate bill for their services. You are responsible for any unpaid balance resulting from any of the above-mentioned services.
List of Insurance Carriers
Medicare, Medicaid and most Private Insurances accepted.
Any questions on your particular carrier please contact our Patient Accounting Department at 843-722-8000
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AARP
AETNA PPO
ABSOLUTE TOTAL CARE
BLUE CROSS BLUE SHIELD
BEECH STREET
BLUE CHOICE PPO
CARE IMPROVEMENT PLUS
CIGNA
COVENTRY
CWI (cgs only)
HUMANA
SELECT HEALTH
MAILHANDLERS
MEDCOST
MEDICAID OF SOUTH CAROLINA
MEDICARE
MEDICARE ADVANTAGE PLANS
MULTIPLAN
PAI
PCN
PYRAMID
SOUTHEAST COMMUNITY CARE
STERLING
SUPERMED
THOMAS COOPER
TODAYS OPTIONS
TRICARE STANDARD (NOT TRICARE PRIME)
UNITED HEALTHCARE
UNIVERSAL
WELLCARE
WELLPATH
AETNA (OUT OF STATE PATIENTS)
BLUECHOICE/MUSC OPTIONS
CIGNA(HCA)
GHI/THE CITY OF NEW YORK
HEALTHSCOPE
TRICARE PRIME
UNISON |
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