BILLING AND INSURANCE

The Center For Endoscopy (CFE) will bill your insurance company for your services here.  We will send you monthly statements until your charges are paid.  Please review your statement carefully when it is received.  It will tell you which insurance we are billing and when it was billed.  Your secondary insurance will be held until the primary insurance pays.  There is a note at the bottom of the statement that instructs you not to pay until you see that your secondary insurance (if you have one) has either paid or responded. 

1. We bill for the facility part of your procedure, which takes the place of an outpatient hospital bill.  This fee includes the room charge, nursing care,  IV lines, medications, linens, etc.
   
   

2. You will receive a bill from your doctor’s office, North County Gastroenterology Medical Group, which is the doctor’s charges for performing your procedure.  This is called the “professional component” of the procedure.  The two statements look similar, as we share the same billing software; however, the two companies are separate entities and bill the insurance carriers for very different things.

   
   

3. You may also receive a bill from an outside lab for biopsies and/or pathologist’s charges if any biopsies were taken during your procedure.  We furnish the lab with your insurance information and they will bill your insurance for their pathology charges.  Please contact the lab directly if you have questions regarding their charges.  Their telephone number and your account number with them will be on their statement.  Please have that information ready if you need to call them.  This is an outside entity, and we have no control over their billing procedures or their charges.
   
   

4. Patients without insurance may call our office at (760) 940-6300 for a price quote for your procedure.  This charge must be paid when you check in for your procedure.  We accept Visa, MasterCard, or your personal check.  If you present an insurance card, the cash price will be null and void.  We are contractually required to bill your insurance carrier and you will be responsible for any costs remaining after they pay.
   
   

5. Our office policy is to collect any remaining deductible on your insurance policy, as well as any facility co-pay, at check-in.  The facility co-pay is often quite different from your office co-pay.

Please contact our office if you have further questions.  Ask for someone in the billing department to help you.  The telephone number is (760) 940-6300.