FEES and INSURANCE The West Shore Endoscopy Center (WSEC) is a Pennsylvania Department of Health licensed, Medicare approved and Accreditation Association for Ambulatory Health Care (AAAHC) accredited Ambulatory Endoscopy Center. Endoscopy procedures may be performed in this facility by any doctor who is qualified and granted privileges by the governing board of WSEC. As at a hospital or other Ambulatory Surgical Center, there is a facility fee for the use of the facility, its personnel and equipment. This fee is separate from the doctor's professional fee and anesthesia services provided by the Certified Registered Nurse Anesthetist. MEDICARE WSEC is licensed and approved by Medicare. As such, we bill Medicare directly for payment of the facility fee. You will receive an Explanation of Benefits (EOB), and are responsible for the annual deductible and co-insurance. BLUE CROSS/HIGHMARK West Shore Endoscopy Center participates with Blue Cross and Highmark. We bill both insurers directly for payment of the facility fee. You will receive an explanation of benefits and are responsible for any deductibles or co-pays that may be due. COMMERCIAL INSURANCE Each insurance company has its own benefits package and policy regarding payment of the facility fee. In general, we will bill the insurance company directly. The fee recognized by the insurer will be accepted as payment in full except for deductibles and co-insurance. Our business personnel are willing to help you with any of your billing questions. MANAGED HEALTH CARE PLANS-HMO'S WSEC is a participating member of: Health America Keystone Health Plan Aetna Health Plan US Health Care Gateway Unison Amerihealth Mercy Most plans require an authorization form or number to be brought from the primary care physician's office. Participation with these managed healthcare plans means we will accept their payment from the service less any co-payments. PRECERTIFICATION You must notify us prior to your appointment if your insurance requires precertification for outpatient procedures. If you do not know whether your insurance requires precertification, closely examine your cards or check with your insurance provider. ANESTHESIA Any time anesthesia is given, our group, Capital anesthesia, will bill your insurance company directly. Capital Anesthesia participates with the same insurance groups as the West Shore Endoscopy Center.
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		West Shore Endoscopy Center 423 North 21st Street Suite 102 Camp Hill, PA 17011 Phone: 717-975-2430 Fax: 717-730-2158 Email: info@endowsec.com © Copyright 2007 West Shore Endoscopy Center. All Rights Reserved.