Billing Information

Davenport Surgical Group, P.C. Billing Guidelines

Payment for services and products provided by Davenport Surgical Group, P.C., is the responsibility of the patient receiving them and/or their legal guardian. Payment is expected at the time services are rendered unless specific alternative arrangements have been made.

We realize that today's health insurance environment is complicated and sometimes confusing. Davenport Surgical Group, P.C. (DSG), maintains a specialized staff that assists patients with obtaining their benefits from their insurance companies. Changes in health care reform have caused many individuals to have large deductibles and high out- of-pocket responsibility. DSG has made some changes to our financial policies to reflect some of these insurance trends. Patients are responsible for providing to us the information we need to assist them and ensuring their insurance covers our surgeons and procedures.

• You must provide us a copy of your insurance card at your first visit. If you do not, you will be considered a self pay patient and will be expected to pay for your visit in full in order for a surgery to be scheduled.
• We must have your insurance card in order to schedule you for a procedure or surgery.
• Office co-payments must be paid on the date of service. A $5.00 statement fee will be charged if your co-payment is not paid at the end of that business day.
• Deductible and co-insurances are patient responsibilities and if your deductible has not been met, and is higher than the cost of your surgery, you will be expected to pay 100% of the expected payment amount prior to your surgery.
• If you do not have insurance, you will be expected to pay $150 at your first visit and 50% of your surgery fee prior to your surgery and a payment plan can arranged for the remaining balance with our billing department, if necessary.
• Verify that the DSG physician you are seeing is on your insurance plan.
• Verify the facility you are having surgery at is on your insurance plan.
• Inform us if precertification is required for your visit or surgery. You may need to call your insurance company or employee benefits office.

• We will verify your insurance eligibility and deductible status with your insurance company.
• We will contact your insurance company to obtain "preoperative certification" (if required), if an insurance card is provided to us.
• We will file any services to your insurance company for you.
• We will be an advocate for you, providing any necessary information to your insurance or employer regarding paperwork for time off work or return to work duties. (Additional fees may apply for some documents.)

We accept Medicare assignment. We are participating providers with Blue Cross/Blue Shield of Iowa and Illinois, United Healthcare Insurance products (except John Deere Premier), and numerous other PPO's in the area. We are participating providers with Iowa Medicaid. Health Insurance benefits vary widely among these companies and their numerous policies. Although we try, we are not always able to anticipate a particular decision your company might make regarding coverage of a service we provide you.

If your insurance company fails to respond to your claims within 45 days, we will request an expedited review of your claim. If your insurance company fails to respond after an additional 45 day (a total of 90 days), we will begin to bill the patient or legal guardian for the services rendered. We then will expect payment in full within 30 days unless special payment arrangements are set up with our billing department.

Balances not paid after two billing cycles may be turned over to an outside collection agency. Additional fees and charges may apply if court action is required. Patients with outstanding balances cannot be given appointments or schedule procedures until the balance is paid in full.

We want your experience and association with Davenport Surgical Group, P.C., to be as pleasant as possible. We strive to provide high-quality, compassionate services to our patients. In addition, we try to treat all patients with dignity and respect. We realize that extenuating circumstances arise during periods of serious illness. We know that flexibility may be necessary at such times. Please do not hesitate to discuss your personal circumstances with us or ask for clarification of any of our payment policies at any time.

Other Facility or Doctor Charges

Please confirm that your health insurance provider has Genesis as a preferred provider. If receiving anesthesia, also confirm that Analgesia and Anesthesia is a preferred provider. All anesthesiologists are part of this group. Charges for anesthesia can be verified by calling the Anesthesia office at 563-324-8160. If you have further questions regarding Genesis anesthesia or Genesis coverage please call the Genesis Insurance verifier at 563-421-4560 Monday through Friday, 8am-4pm. For surgical patients without insurance and limited financial resources a Financial Counselor at Genesis can see if you qualify for Medicaid, Iowa Cares Program, or other possible resources. Please call (563) 421-7941. (Surgical patients can receive numerous bills; usually they are from DSG, anesthesia, Genesis, and Metro lab.)

Please confirm that your health insurance provider has the surgery center as a preferred facility. If you have any billing questions, contact the surgery center at 563-344-6600 and ask for the billing department