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

1. Grandview Surgery & Laser Center
2. Riverside Anesthesia Associates 717-545-5256 
3. Your surgeon's office - his/her fee for performing your surgery
4. Your pathologist - services for tissue specimens removed during surgery requiring further examination
5. 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 717-731-5444 if you encounter a problem with your insurance company and need our assistance.

Grandview Surgery & Laser Center's policy is to turn over to an attorney all accounts which are delinquent.  You will be responsible for any collection fees that are incurred. We utilize Boswell, Tinter & Alford (717-236-9377) as our collection agencies.                 

THE GRANDVIEW SURGERY & LASER CENTER WILL BILL AS FOLLOWS:

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.

SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. Payment of ½ is due on the day of surgery with balance to be paid within 3 months.  Arrangements can be made for monthly payments thru CareCredit 

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY  
Payment in full must be made at time surgery. 

NOTICE TO PATIENTS

A copy of our patient’s rights and responsibilities are posted in our patient lobby and if you have any complaints which arise out of these rights, Grandview Surgery & Laser Center maintains a grievance mechanism to resolve them.  If you have a complaint, you may request a written response.  The person to whom you should address a grievance is:

CENTER	LARRY RODABAUGH, ADMINISTRATOR (717) 731-5444
STATE AGENCY	ATTN: STACY MITCHELL ACTING DEPUTY SEC. FOR QUALITY ASSURANCE PENNSYLVANIA DEPARTMENT OF HEALTH BUREAU OF FACILITY LICENSURE AND CERTIFICATION DIVISION OF ACUTE AND AMBULATORY CARE ROOM 532, HEALTH & WELFARE BUILDING 7TH & FORSTER STREETS HARRISBURG, PA 17120 (800) 254-5164
MEDICARE	OFFICE OF THE MEDICARE BENEFICIARY OMBUDSMAN: www.cms.hhs.gov/center/ombudsman.asp