We provide executive level facilities and services with access to state-of-the-art technologies, the highest quality instrumentation and surgical material, flexibility with scheduling, and access to highly trained professionals.
Unfortunately, some insurance companies make efforts to discourage their patient/members in seeking out-of-network services, despite the fact that you pay higher premiums to access out-of-network health care professionals. They charge you a higher premium and discourage your use of them.
If you still wish to use our facility for service, and we hope that you do, it is your right to do so and you should insist on it.
The Explanation of Benefits is NOT A BILL. We do not require you to take any additional action.
Your Health plan will provide a financial statement (commonly known as an Explanation of Benefits) to you when they receive and process medical bills on your behalf. If you paid the amount we quoted you on or before the date of your procedure, the explanation of benefits will be purely informational and no further action is needed on your part. However, if you have any questions regarding the information on your explanation of benefits, please feel free to call our billing department at 818-937-9969.
We expect and deliver high quality services to our patients. At the contracted (or "In-Network”) rates your health plan has offered, we do not feel that we would be able to provide you with the level of care and service we know you deserve, which is why we have decided to maintain our out-of-network status.
We have determined that your health plan will cover surgical services for out-of-network providers/facilities. In the unlikely event that your health plan denies payment, we may forward the charges for your surgical procedure to your attention. It is important to note that this process is not any different than if you were to utilize an in-network provider or facility.
Our goal is to provide patients with the highest quality care at the lowest possible cost to the patient. Our success is dependent on your complete satisfaction. Unlike the insurance giants, we are a member of the local community and you are not just a number to us.
You have annual limits to your co-insurance, deductible, and out-of-pocket costs set by the plan you have selected with your insurance carrier. Prime Surgical Center uses the remaining balance of your out-of-pocket costs to calculate the amount that you will be quoted, and responsible for, in advance of scheduling your procedure. We do our best to limit your financial liability to the price you have been quoted and we do not bill any amount after the surgical procedure has been performed unless we are required to by your insurance carrier or by law. In some cases, your insurance carrier will require us to forward you a copy of the bill.
If you are in receipt of any bill post-surgery, please do not hesitate to contact our billing department at 818-937-9969.
Yes. Prime Surgical Center offers prompt payment discounts to patients who pay for services before the date of service. The prompt payment discount is offered to insured patients only.