Credit and Payment Policy

There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.

1. Alaska Spine Center, all services, (907) 644-5510
2. Your surgeon’s office – his/her fee for performing your surgery.

Full payment is due within 45 days from your date of service. Please contact your insurance company directly if you experience any delays. YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker’s Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you, our patient, not your insurance company. Consequently, all charges incurred are your responsibility. The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do. You should normally receive a response from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. Please call our Business Office at (907) 550-5510 if you should have any questions.

Alaska Spine Center’s policy is to turn over to an attorney or collection agency all accounts which are delinquent. You will be responsible for any collection fees that are incurred.
We utilize TSI Phase II (425) 778-2303 as our collection agency.

BILLING/COLLECTIONS

THE ALASKA SPINE CENTER WILL BILL AS FOLLOWS:

Auto Insurance with Med pay available

Employers with Patients Consent

MEDICARE
We accept assignment of benefits.

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

SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. A down payment equal to 1/2 of the total estimated amount due is expected. You will be asked to complete a financial agreement. The remaining balance will be due within 90 days from your date of service.

SELF PAY – COSMETIC SURGERY – ELECTIVE SURGERY
Payment in full must be received 5 days prior to surgery.


NOTICE TO PATIENTS

A Notice of “Patient’s Rights and Responsibilities” is posted in the waiting room. This notice is made available in both English and Spanish.

If you have any complaints which arise out of these rights, the Alaska Surgery Center maintains a grievance mechanism to resolve them. If you have a complaint you may request a written response. The individual to whom you should address a grievance is:
Kevin Barry, Administrator
4100 Lake Otis Parkway, #222
Anchorage, AK 99508
(907) 550-6100

If you wish to direct a complaint to the Alaska Department of Health and Social Services, the address is:
DHSS
350 Main Street, Room 404
PO Box 110601
Juneau, Alaska 99811-0601
Phone: (907) 465-3030
Fax: (907) 465-3068
TDD/TTY: (907) 586-4265