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  INSURANCE AND BILLING
Charges associated with services provided at the Illinois Sports Medicine & Orthopedic Surgery Center (ISMOSC) will consist of a facility fee for the patient’s use of the Pre-Op area, the Operating Room and the Post-Anesthesia Care Unit (Recovery Room). In addition, some patients may also be charged for certain single-use implants and/or surgical supplies.

Prior to your surgery date, you will be notified by ISMOSC of your insurance benefit coverage and the amount of your estimated co-pay and/or deductible. We will utilize current information from your insurance carrier to estimate the amount of any co-pay and/or deductible that has not been met, and request that you pay this amount either before or on the day of surgery. We accept cash, cashier’s checks, money orders and both Visa and MasterCard, with credit card approval obtained on the date of payment.

Because of the large number of health insurance plans, we suggest that you contact your insurance carrier if you have any specific questions regarding your individual coverage.

After your surgery, ISMOSC will submit a claim to your insurance carrier for the facility fee. You will also receive a statement that outlines the facility fee that has been billed to your insurance carrier and the amount of any co-pay and/or deductible that you have already paid. ISMOSC will subsequently receive payment from your insurance carrier and you will receive an Explanation of Benefits (EOB). ISMOSC will credit your account with this insurance payment. A final statement will then be sent to you showing the credit to your account and any remaining balance due. In addition, any overpayment will be refunded to you after approximately 30 days from receipt of the insurance payment.

Please note that the surgery centerís bill does not include the services of your surgeon, anesthesiologist or pathologist.

It is your right as a patient to request information or have questions answered regarding facility fees or payment policies. If you have any questions regarding your bill, please contact our Billing Office at 866.787.4426. We will be available to assist you Monday through Friday between the hours of 8:00 AM and 4:30 PM.