Financial Policies
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GENESIS MEDICAL CENTER OF KENOSHA, S.C.
FINANCIAL POLICIES
The following is our financial policies, which we require you to read and sign prior to any treatment. As a courtesy to you, we will bill your insurance company if we are given the necessary forms and information at the time of your initial service. All patients must complete out Patient Registration Form in full prior to being seen by any provider at Genesis Medical Center of Kenosha, S.C.
Payment in full of any co pay’s, deductibles and other fees
is due at the time of service.
There is a $25.00 Administrative fee if co pay’s are not paid at the time of service.
We accept Cash, Checks, Debit Cards, Visa and MasterCard as forms of payment.
You will be charged a $35.00 bank fee for any returned checks for any reason. A collection fee will be charged if payment becomes past due where account is sent to American Collection Bureau or our collection agency.
If your patient balance is more than $300.00 at any point in time, you will be contacted by our billing department to set up payment arrangements. If payment arrangements are not kept up on a timely basis and your balance , no matter how small the amount, becomes more that 120 days old, we will proceed to send your balance to our collection agency and terminate you from Genesis Medical Center of Kenosha, S.C.
Your insurance is a contract between you (the Subscriber), your employer and the insurance company. We are not a party to that contract. Should your insurance fail to pay, for any reason, you are responsible for the balance. We will transfer liability of the claim to you if your insurance does not properly pay within 45 days. Genesis Medical Center of Kenosha, S.C. expects you to be interactive and responsible for communicating with your insurance carrier on any open claims.
Our statements are cyclical (sent once a month, about the same time each month) and are current within one week of being sent out. If you notice a date of service on your statement for more than one month, you should take the initiative and call your insurance carrier about it and their lack of response. The balance on the statement is due in full by the 20th of each month.
If you find your self without insurance coverage at any point in time, please notify us immediately. We will make you a self-pay patient and our 20% discount will take effect at that time so that continuity of care can continue. Established self pay patients must pay 100% of each visits fees at the date of service. Any lab tests that require additional testing, resulting in extra fees, will be billed to you and payment is expected upon receipt of the bill.
An adult must accompany anyone under the age of 18. The adult is also responsible for signing any documents and any payments that are due for the services rendered. The guarantor is also responsible for the patients account. If you are not the policy holder of the health insurance then we will require a date of birth, social security number and the policy holder’s information at the time of service.