Billing Info

FloridaHealthFinder.gov

Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility: www.floridahealthfinder.gov

Information about payments made to Intracoastal Surgery Center for defined bundles of services and procedures is available at http://pricing.floridahealthfinder.gov/. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services, and actual costs will be based on services actually provided to the patient.

To learn more about the Price Transparency, Patient Billing and rule 59A-5 click here


Right to Request an Estimate

Patients and prospective patients have the right to request a personalized estimate from Intracoastal Surgery Center by calling 321-610-3460.

Other Providers

Services may be provided in Intracoastal Surgery Center by the facility as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as the facility.

Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information, such as billing practices. Patients and prospective patients should contact each health care practitioner who will provide services in this surgery center to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

Contract Providers

Please contact the health care practitioners anticipated to provide services for your surgery with regards to a personalized estimate, billing practice and participation with your insurance provider or health maintenance organization (HMO) as the contracted practitioners may not participate with the same health insurers or HMO as Intracoastal Surgery Center.

ORTHOPEDIC:

Dr. David Dominguez
141 Coconut Drive
Indialantic, FL 32903
(321) 610 – 8939

Dr. Kyle Moyles
Dr. Brandon Frye
2010 W Eau Gallie Blvd, Suite 104
Mebourne, FL 32935
(321) 500 – 4263

Dr. Jeffrey Greenspoon
Dr. Bryan Parry
6525 3rd Street, Suite 302
Rockledge, FL 32955
(321) 241 – 1144

Dr. John Perry
1700 W Hibiscus Blvd
Melbourne, FL 32901
(321) 500 – 5633

GENERAL SURGERY:

Dr. Mark Talbert
129 Hibiscus Blvd
Melbourne, FL 32901
(321) 372 – 1372

PODIATRY:

Dr. Daniel Cohen
7730 N Wickham Rd, Ste 103
Melbourne, FL 32940
(321) 253 – 3595

Dr. John Mackenney
6550 N Wickham Rd, Ste 4
Melbourne, FL 32940
(321) 259 – 4268

Dr. Jared Moyles
1515 Airport Blvd
Melbourne, FL 32901
(321) 723 – 3500

Dr. Michael Sosinski
2404 N Courtenay Blvd
Merritt Island, FL 32953
(321) 452 – 1327

UROLOGY: 

Dr. Prodrromos Borboroglu
575 S Wickham Rd, Suite B
West Melbourne, FL 32904
(321) 308 – 5060

Dr. Andrew Zabinski
129 W Hibiscus Blvd
Melbourne, FL 32901
(321) 372 – 1372

SPINE: 

Dr. Jacob Januszewski
1601 S Apollo Blvd
Melbourne, FL 32901
(321) 327 – 7797

PAIN MANAGEMENT: 

Dr. Vijay Katukuri
1301 W Eau Gallie Blvd, Ste 112
Melbourne, FL 32935
(321) 327 – 9788

GYNECOLOGY:

 Dr. Victor Benezra
129 W Hibiscus Blvd, Ste A
Melbourne, FL 32901
(321) 405 – 3000

ANESTHESIOLOGY:

BREVARD PHYSICIAN ASSOCIATES
1775 w Hibiscus Blvd, Ste 215
Mebourne, FL 32901
(321) 837 – 3820

Out of Network

A patient receiving treatment at our surgery center under insurance with which our facility is out of network may be eligible to receive an adjustment to their assigned out of network patient liability, assuming our facility is not prohibited from offering Out of Network adjustments under state/Federal laws or your insurance company’s provisions. If not prohibited, the application of any out of network discount is subject to vary based on a patient’s benefit coverage. Accounts which become delinquent may have the adjustment disallowed.

To request an estimate, please call Intracoastal Surgery Center at 321-610-3460.


Financial Assistance Policy

Intracoastal Surgery Center is committed to meeting the healthcare needs of all patients in a state of the art environment, with first rate staff and excellence in patient satisfaction. Intracoastal Surgery Center may not be a participating provider with all insurance plans, but we strive to give patients and insurers the best possible value for their healthcare dollar, providing access to superior quality care to all patients in the community, regardless of insurance type, at a cost-effective rate. Financial responsibility for patients and insurers will be calculated in accordance with any existing contractual agreements in effect on the date of service, pursuant to an assignment of benefits provided by the patient. In the absence of applicable contractual rates*, such as services rendered to patients holding insurance coverage for which the surgery center is not a participating provider, the following policies will apply. All financial estimates are based on a non-personalized estimate of costs that may be incurred by the patient for anticipated services. Actual costs will be based on services actually provided to the patient.

*Contractual rates include, but are not limited to, government-set fee schedules for Medicare, Medicaid, TriCare, Worker’s Compensation, other government-mandated fees, Third Party Agreements, direct employer or patient agreements, and Managed Care contracts. Please visit https://pricing.FloridaHealthFinder.gov regarding the information on payments made to facilities for billed services.

  1. The surgery center bills both patients and health plans using the same fee schedule.

  2. The surgery center requests a deposit on the date of service, which will be applied to the patient’s total financial responsibility.

  3. Patient responsibility is determined based on the applicable patient portion of contractual rates, where a contractual agreement exists with the payor. Where contractual rates do not apply, surgery center will bill the patient for their financial portion once the claim has been processed, and appealed if necessary, and the allowable has been determined by the insurance company.

  4. Upon registration, patients will sign the relevant financial documents, including the Assignment of Benefits, Authorizations & Disclosures and Acknowledgement of Financial Policies.

  5. The surgery center will not waive any unmet coinsurance, deductibles or other patient responsibility associated with services for which it has billed a health plan pursuant to an assignment, except for reasons of financial hardship. Additional financial assistance will be considered per case.

  6. The surgery center verifies insurance benefits, however exact coverage and benefits cannot be determined until the claim is received, reviewed and processed by the insurance carrier.

  7. Verification of benefits is not a guarantee of payment from an insurance carrier, and all benefits are subject to the conditions and limitations of the plan in effect at the time of service. Financial obligation is based on applicable benefit levels associated with the services the surgery center provides.

  8. When a health plan denies some or all of the charges, the surgery center will pursue the internal appeals process provided by the health plan, and patient responsibility will be billed after the appeal.

  9. Final patient responsibility is determined based on the allowed amount of the claim as listed on the insurance company Explanation of Benefits, once processed by the insurance carrier, and the patient’s applicable benefit levels.

  10. Patients are informed that estimates of financial responsibility are subject to change based on procedures performed or determination of coverage, and that they remain financially obligated for any and all charges associated with services rendered.

  11. Patients with no insurance coverage will be considered self-pay and will be eligible for the 70% prompt pay discount off charges.

  12. Written estimates of anticipated charges and associated financial responsibility are available upon request. Please contact your respective healthcare practitioner anticipated to provide services while in the center regarding a personalized estimate.

  13. When patients receive payment directly from the health plan, patients must endorse and forward the payment and Explanation of Benefits to the center within 5 days of receipt to avoid additional financial liability. Agency-assigned collection efforts will apply to all accounts past due 90-days or more.

  14. Insurance carriers are made aware of the surgery center’s discount policy through disclosure on the claim form submitted to the insurer for services rendered. Detailed financial policies are available to the insurer upon request.

Disclosure of Ownership:

Your physician may have a financial interest in Intracoastal Surgery Center.


Section 1557 of the Patient Protection and Affordable Care Act

Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). The law prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs or activities. Section 1557 builds on long-standing and familiar Federal civil rights laws: Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.

To read the Summary of the Final Rule, select your language below:

 

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