Insurance and Financial Information

This page contains information on participating insurance carriers, financial policies, understanding your billing and transparency in healthcare pricing.  Please scroll down to locate all information.  

The Harmony Surgery Center participates with the following insurance carriers. Please check with your Insurance Carrier prior to your procedure with HSC to ensure coverage and network status.

Be advised that the following list can continually change. For the most current information please contact one of our insurance coordinators at (970) 297-6449, (970) 297-6435 or (970) 297-6454.

Insurance Website Insurance Coordinator
Aetna Healthcare www.aetna.com (970) 297-6454
Altius/Coventry/First Health www.firsthealth.com (970) 297-6435
Anthem BC/BS www.anthem.com (970) 297-6435
Auto NA (970) 297-6454
Beechstreet www.beechstreet.com (970) 297-6454
ChampVA/Dept of VA www.va.gov  (970) 297-6449
Cigna/Great West www.cigna.com (970) 297-6454
Colorado Access/CHP+ www.coaccess.com (970) 297-6435
Cofinity www.cofinity.net (970) 297-6454
Humana/ChoiceCare www.humana.com (970) 297-6435
Medicaid (Colorado Only) www.chcpf.state.co.us (970) 297-6449
Medicare/ R.R. www.cms.hhs.gov (970) 297-6449
Medicare Advantage Plans NA (970) 297-6449
Multiplan/BCE Emergis www.multiplan.com (970) 297-6435
PHCS www.phcs.com (970) 297-6435
Rocky Mtn Health Plans www.rmhp.org (970) 297-6454
Summit America www.summitamerica-ins.com (970) 297-6454
Tricare www.tricare.com (970) 297-6449
UMA www.unitedmedical.org (970) 297-6454
UHC/Pacificare/GEHA www.unitedhealthcareonline.com (970) 297-6454
Work Comp NA (970) 297-6435

 

Financial Policy

Thank You for choosing Harmony Surgery Center, LLC. We are committed to your treatment being successful. Please take a few minutes to review the following financial information.

We hope that you understand that our financial policies are established to assure the financial resources needed to maintain this surgery center for all our patients. We will work with you to ensure that your medical care does not become a financial burden.

We may contact you prior to your procedure to discuss prepayment of your co-payment, co-insurance or deductible. It is your responsibility to know and understand what your insurance will cover.

General Insurance Information:

  • Your insurance policy is an agreement between you and your insurance company. Our relationship is with you, not your insurance company. Therefore, all charges are ultimately your responsibility, regardless of your insurance status. You are responsible for getting proper referral and pre-authorization information prior to your surgery.

Insurance we participate with:

  • We will bill your insurance claim for you; however, all coinsurance is your responsibility. We will estimate the balances to the best of our ability.

Insurance we do not participate with:

  • We will bill your insurance claim for you, as a courtesy. In the event that your insurance does not reimburse us within 45 days, we will simply drop the balance to patient responsibility.

Cosmetic / Gastric Surgery:

  • We require that all Cosmetic Surgery, Gastric Surgery and Aesthetic Services be paid in full prior to your service.
  • Please call (970) 297-6429 with any questions you may have.

Usual & Customary Rates:

  • Our Facility is committed to providing the best care possible for our patients. You are responsible for payment regardless of the insurance company’s arbitrary determination of usual and customary rates.

Work Comp and Accident or Liability:

  • If your care is covered by a motor vehicle accident or a worker’s comp insurance, we will bill your claim for you, to the health insurer. If the claim is disputed, you will be responsible for all charges.

Our Financial Policy requires all balances to be paid in full no later than 120 days (4 months) after the initial date of service. Accounts 30 days past due are subject to collection proceedings. You will be responsible for all collection costs including but not limited to collection agency fees, attorney fees, and court costs except when prior arrangements have been made with our business office staff.

We will make every effort to submit your claim and process your charges and payments efficiently. In the event that an error does occur, please contact one of our business office staff at (970) 297-6429 as soon as possible.

Understanding Your Billing

As you prepare for your surgery or procedure, we want to make sure you understand how you will be billed for the services you will receive.  A successful surgery depends on a team effort by multiple professionals, including the staff in our facility. However, because government and insurance rules do not permit us to bill or collect money for professional healthcare providers not employed by us – including several of the providers who may be associate with you procedure – each one must send their own bill and collect payment from you separately.  Consequently, you will likely receive several different bills.

It is also very important that you confirm with your (employer or) insurance company that all of the providers associated with your procedure are “in-network.” Just because your surgeon and our surgery center are “in-network,” you cannot assume all of your service providers are as well. Only your benefit manager or insurance provider can confirm this information – so please check with them in advance of your procedure.

Here is an explanation of the bills you are likely to receive following your surgery or procedure:

  • The Surgery Center. You will get a bill from us for what is known as the facility fee. This fee is for the staff, supplies, equipment and medications we provide for your safe and successful experience here.
  • Your Physician/Surgeon. Since the physician performing your surgery is not an employee of the facility, you will be billed separately for his or her services. This bill will be sent from the physician’s office. You will need to address all questions and send all payments to that office.
  • Anesthesia. The anesthesia you receive during your procedure will be provided by a certified registered nurse anesthetist and/or anesthesiologist. The anesthesia provider will give you the appropriate anesthesia necessary for your procedure and will monitor you throughout the surgery. You will get a separate bill for these services. You will need to address all questions regarding these services and send all payments to that group or physician.

Other Potential Bills

Depending on several factors related to your particular surgery or procedure, you may receive services for which you will get additional bills. These additional bills may include:

  • Laboratory and Pathology Services for things like blood and urine tests or tissue sampling.
  • Radiology Services for X-rays,  MRIs, or ultrasounds.
  • Cardiology Services for services such as an electrocardiogram (EKG).
  • Durable Medical Equipment such as crutches or leg compression pumps.

We realize that these multiple bills can be confusing. Our staff will do their very best to help you with questions and guide you to the proper sources of information. If you have any questions about this information, please contact us at (970) 297-6449, (970) 297-6435 or (970) 297-6454.

 

Transparency in Healthcare Prices – In compliance with Senate Bill 17-065

Disclosure – The health care price for any given health care service is an estimate and the actual charges for the service are dependent on the circumstances at the time the service is rendered.  If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this facility.  If you are not covered by health insurance, you are strongly encouraged to contact Harmony Surgery Center at 970-297-6435 to discuss payment options prior to receiving a health care service from this facility since posted health care prices may not reflect the actual amount of your financial responsibility.

 Transparency in Healthcare Prices 12-04-17