Insurance Claims

As a courtesy, Wilshire Surgery Center will submit insurance claims on your behalf for our facility fees. It is your responsibility to provide us with correct insurance information to help ensure timely and accurate processing of your claim. Please keep in mind that your insurance policy is a contract between you and your insurance company. Wilshire Surgery Center is not a party to that contract. Necessary information, including authorization, demographic information and coordination of benefits is ultimately your responsibility. Our staff is dedicated to helping ensure that claims filed with your insurance company are processed accurately and in a timely manner. However, you ultimately are responsible for all eligible expenses not paid by your insurance.

In some instances, your insurance company may send payment directly to you for our bill. If you do receive a check from your insurance company, our full charges will remain your responsibility until we receive a copy of your Explanation of Benefits (EOB) to determine how the claim was processed, so that we can make any applicable adjustments to your account.

Wilshire Surgery Center Billing
Wilshire Surgery Center Billing

Our experienced staff is available to answer questions about insurance participation, authorization and financial responsibility.

Wilshire Surgery Center Billing
Wilshire Surgery Center Billing

Co-pays, Deductibles, Non-coveredĀ Services andĀ Self-pay

Co-payments, deductible amounts, and estimated co-insurance may be due on or before the day of surgery. If you have no medical insurance, choose not to use your benefits, or request a service that is not covered by your insurance policy, payment for services is expected to be made in full prior to your procedure.

Patient Balances and Responsibility

If a balance remains after your insurance has processed a claim, Wilshire Surgery Center will send you an account statement which indicates the balance that is due. For your convenience, we accept payment by check, cash, money order, and most major credit cards. Any patient balance not settled in full within 30 days of the first statement may be subject to late fees and further collection activity. Please call our business office if you need to make payment arrangements at 503-575-2947.