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Credit & Payment Policy

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

  1. David Aguilar M.D., Anesthesia, billing company EMMI 805-642-3756
  2. Sara Glaser, CRNA,  Nurse Anesthetist, billing company ABEO 626-204-6737
  3. Vance Kalcic M.D., Anesthesia, billing company EMMI 805-642-3756
  4. Al Katouzian M.D., Anesthesia, billing company EMMI 805-642-3756
  5. Lois Remely, CRNA, Nurse Anesthetist, billing company ABEO 626-204-6737
  6. Gary S. Smith M.D., Anesthesia, 818-888-7815
  7. Frank Suranyi M.D., Anesthesia, billing company EMMI 805-642-3756
  8. Jason Rolfe, M.D., Anesthesia, billing company EMMI 805-642-3756 
  9. William Tellez M.D., Anesthesia, billing company EMMI 805-642-3756
  10. Stefany Wolfsohn, M.D. Anesthesia, billing company 
  11. Your surgeon's office - his/her fee for performing your surgery.
  12. Your pathologist - services for tissue specimens removed during surgery requiring further examination.
  13. An extended home health care service.

Full payment is due within 60 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 805-485-1908 if you encounter a problem with your insurance company and need our assistance.

Channel Islands Surgicenter'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 Transworld Systems, 888-446-4733, as our collection agencies.                 

BILLING/COLLECTIONS

THE CHANNEL ISLANDS SURGICENTER WILL BILL AS FOLLOWS:

We will submit your bill to your primary insurance carrier.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance carrier.  If you have no secondary insurance a bill will be sent to you for any balance after receipt of payment or denial from primary insurance carrier.  We must make a copy of you insurance cards at the time of registration.

Workers compensation/Auto insurance we will submit your bill directly to your auto insurance/employer/work comp insurance if your procedure is the result of an accident.  We must make a copy of insurance card, be provided with claim number, date of accident, and insurance claim address at the time of registration.

HMO Insurance Plans

We will submit your bill directly to your HMO carrier.  Your copay amount is due on or before the date of service. A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance carrier.  We must make a copy of you insurance cards at the time of registration.  

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.

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

SELF PAY AND COSMETIC SURGERY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery.  Payment in full on or before the date of service of the estimated amount due is expected.  You will be asked to complete a financial agreement.  These fees are an estimate based on the time it takes your procedure to be completed.  If your procedure takes longer than planned you will be billed for the additional charges. 


NOTICE TO PATIENTS

Click here for the state legal notice regarding complaints.