Digestive Health Associates

Southwest Endoscopy Center

Financial Policies
Primary Insurance


We are contracted with many health plans, including Blue Cross and Blue Shield of Colorado, HMO Colorado, Rocky Mountain HMO, Medicare and Medicaid (Colorado), to accept their allowed amounts.  We will bill these plans directly, and will require you to pay only the required co-payment and deductible.  We are obligated under participation agreements to collect these amounts.

Co-payments are due at the time of service.

We anticipate periodic additions and deletions to our list of contracted health plans.  Please contact our office or check our website listing of health plans for current information regarding our participation status.

If you have insurance coverage through a plan with which we do not currently participate, we will collect any amounts not paid by your insurance.
We will prepare and send your insurance company a claim.  The insurance company may send the payment to you or to us.  If it is sent to you, full payment on your account balance must be made immediately on receipt of the insurance check.   In the event your health plan determines a service to be "not covered," you will be responsible for the complete charge unless we are contractually precluded from seeking payment.

If your insurance requires a referral from a primary care provider, it is your responsibility to obtain one.


Secondary Insurance

Our office will submit secondary insurance claims for you.

 

Discounts

If you do not have insurance coverage through which you are eligible for a discounted contracted rate we offer a discount off of billed charges when payment in full is received at the time of service.  Please contact our billing office for further information.


Self Pay


If you do not carry health insurance payment in full is due and expected at the time of service.  We provide a discount for services provided on this basis.  Please contact our billing department for further information.


Payment Options


Digestive Health Associates and Southwest Endoscopy Center accept:  Cash, Check, Visa®, MasterCard® and DiscoverCard®.  


Late Cancellation and Missed Appointment Fees


Digestive Health Associates charges a fee for visits or procedures that are not cancelled at least 24 hours prior to the scheduled appointment.

  • Office visit $25
  • Procedure visit $100 (Southwest Endoscopy or Mercy Regional Medical Center)

Collection Service Charge


Thank you for keeping your account with us current.  Overdue accounts are subject to a $25 collection service charge, which is assessed at the time the account is referred for collection agency action.
Medical Records Fees
Fees charged for medical records are regulated by the State of Colorado and Federal government (HIPAA).