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Billing / Account Resolution

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Insurance and Billing

We understand that you may have questions or concerns about our billing and insurance process.  Please use this section to learn about what is expected of you as the patient and from your insurance provider(s).

Prior to your surgery date, you'll be contacted regarding your insurance coverage.  A co-insurance and or deductible will be collected on the day of your surgery.  After surgery, we will file insurance claims for you.  We'll ask you to sign an “assignment of benefits” form so that the check comes directly to our billing office.  The bill will not include the services of your surgeon or anesthesiologist or any lab or pathology fees.  These services are billed separately .  If you have any questions or concerns regarding your bill, please contact our Business Office at     602-795-6020 ext. 6991, Monday-Friday, 7:30am to 4:00pm.

There will be a number of separate charges accompanying your surgical procedure. Depending on your procedure, you may receive charges from different facilities/providers.

  1. The CORE Institute Specialty Hospital for your hospital services.
  2. Anesthesiology Group                               
  3. Your surgeon’s office – the fee he/she requires for performing the procedure.
  4. Pathology Group – if tissue specimens were removed during surgery that requires additional examination. 
  5. Any extended home care services you may need. 

Payment for the Hospital fees is expected upon admission.  Any remaining balance as per the Explanation of Benefits from your insurance is due within 90 days from your date of service.

Your insurance, as well as Worker’s Compensation, auto (no fault) and personal injury, is legally your responsibility. The relationship we have is with you, not your insurance provider. It is recommended that you contact your Insurance provider to ensure payment will be made in a timely manner, please call our Business Office at 602-795-6020 extension 6991 if you encounter a problem with your insurance company and need our assistance.

The Core Institute Specialty Hospital’s policy is to turn over all delinquent accounts to an attorney or collection agency. You will be responsible for any collection fees that are incurred. We utilize Transworld Systems Inc. as our collection agency.

 

The CORE Institute Specialty Hospital's billing process is as follows:

Medicare

Your copay amount will be due on or before your date of service. As a courtesy, we will submit your bill directly to Medicare. A bill will be sent to you for any balance after receipt is payment or denial of your insurance company. If you have secondary insurance, a bill will be sent to your secondary insurance upon final reimbursement notification from your primary insurance. We will make a copy of each insurance card at the time of registration.

Private Insurance

Your copay will be due on or before your date of service. As a courtesy, we will submit your bill directly to your private insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipts of payment or denial from your insurance company. If you have a secondary insurance, a bill will be sent to the company upon receipts of payment or denial from your primary insurance. We will make a copy of each insurance card at the time of your registration.

Self-Pay

You will be contacted regarding an estimated procedure cost prior to your surgery. You will be expected to pay this amount on your before you service date. If there are any additional charges, you will receive a statement for those charges on a later date.

Overpayment

Any overpayment of deductible, co-insurance or copays will be refunded upon final payment being received from your insurance provider(s).  Any overpayment or payment made in error by your insurance provider will be refunded back to that payer.  Our policy is to refund credit balances in the same form that the payment was made.  You may receive a call from one of our Business Office teammates for credit card information in order to refund your credit balance back to your card, as we do not retain credit card information in our files for your protection.  If we are unable to obtain the correct information, a check will be issued to the individual who made the payment.