Please take a moment to review the following information.
Insurance Carriers
Please contact our Patient Accounting Department at 843-793-5182 with any questions regarding your particular insurance carrier.
We accept Medicare, Medicaid and most private insurances, but are “in network” with the following:
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, making 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 the name of your insurance carrier. Upon verification that we participate with your plan, we will file your charges with your carrier.
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.
Insurance Billing Statement
We understand that billing can be tricky, so please feel free to contact our billing office at 843-793-5182 with any questions or concerns!
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 that 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.
When you are scheduled for a procedure at one of our centers, your insurance will be billed for a facility fee from our 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 a lab you have directed your specimen to be sent to 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. You are responsible for any unpaid balance resulting from any of these services.
We now offer online bill pay. Please contact our billing office at 843-793-5182 to learn more.
