We offer 5 convenient locations: Conyers, Covington, Greensboro, Madison and Rockdale.
Patient Rights & Responsibilities (HIPAA)
HIPAA is an acronym for the Health Insurance Portability & Accountability Act of 1996 (a federal law). Of significant concern to healthcare organizations is the Administrative Simplification section of the Act, which requires healthcare organizations to comply with specific rules regarding:
- Unique Identifiers for health plan, providers, individual, employers
- Healthcare Transaction & Code Sets for transmitting data electronically
- Privacy regulations over disclosure and use of health information
- Security regulations over protections of electronic health information
It has always been the policy of this medical practice to protect the privacy/confidentiality of every patient. The protection of patient information is not only a requirement under applicable laws, but is also an ethical and clinical obligation of every physician and employee of this medical practice. East Atlanta Gastroenterology Associates (EAGA) will comply with all federal and state laws related to the privacy and security of patient information.
Payment is due at the time of service, which may include all deductibles, coinsurance, copays, and past due balances. If your insurance carrier considers any service a non-covered service, or if you are paid directly by your insurance carrier, payment will be expected in full at the time of service. All payment arrangements must be approved by the Business Manager. Payment arrangements will only cover the specific charges and dates of service agreed upon. They will not cover additional charges or dates of service. We accept cash, check, money orders, American Express, Discover, MasterCard and VISA. Should your check be returned by the bank due to insufficient funds or you stop payment on a check or credit card payment, you will be assessed a returned payment fee of $35.00. If this fee is not paid, it will be turned over to a collection agency along with any other unpaid balance.
Our practice is committed to providing the best treatment for our patients; therefore, we charge what is usual, customary, and reasonable for the geographic areas we cover.
Our office will file your claim(s) to your insurance carrier(s). Your insurance coverage is a contract between you and your insurance carrier. It is your responsibility to know your plan benefits. Furthermore, it is your responsibility to secure a referral prior to your procedure
if required by your insurance carrier. Your entire account balance, including charges filed to your insurance company, is your responsibility. You are responsible for follow-up communication with your insurance company should there be any problems in processing a claim. You are financially responsible for all copays, coinsurance, and deductibles required by your insurance carrier with at least a portion to be paid at the time of service. Any unpaid balances will be subject to collection procedures. Please be aware that some, or perhaps all, of the services provided may be non-covered services and not considered reasonable and necessary under some federal programs, commercial insurance plans or self-insured plans. You will be held responsible for these services.
You are asked to confirm your demographic and insurance information at every visit. Should you provide us with incorrect information, our office will charge a $25.00 misinformation fee for each visit that incorrect information is provided as well as you will be responsible for any balance unpaid by your insurance carrier due to incorrect information. This fee will not be covered by your insurance carrier and will be billed directly to you.
If your account balance is turned over to an outside collection agency, you will be responsible for your entire balance plus a collection agency fee equal to 33% of your account balance. You will then be required to reconcile your balance with the collection agency.
If you must cancel or reschedule, we require a full 2 business day notice. If you cancel or miss your appointment without the required notice, we will assess a $300.00 cancellation/no show fee. These missed appointment fees will not be covered by your insurance carrier and will be billed directly to you to be paid before another appointment will be scheduled. If this fee is not paid, the balance will be turned over to a collection agency. You will not be charged a missed appointment fee if our office cancels or reschedules your appointment.
Please be advised that the Wellbrook Endoscopy Center is a separate facility from East Atlanta Gastroenterology Associates with a separate tax identification number. Therefore, patients may have four bills for each procedure performed at this office. One bill from Wellbrook Endoscopy Center for the facility and/or technical portion of the procedure, one bill from East Atlanta Gastroenterology Associates for the physician’s professional portion, a bill for the anesthesia service you receive during the procedure and possibly a bill from a laboratory if biopsies are taken during the procedure.
We accept most major insurances. Each visit will be pre-certified before your arrival to make sure that it will be covered by your insurance. If you have any questions about pre-certification, please call our pre-certification coordinator at (770) 922-0505 x 263. You will be required to produce proof of insurance at each office visit.
For your convenience, you may call, email, or fax or visit our patient referrals page.