BILLING

Insurance and Billing

Our goal at Griffiss Surgery Center is to ensure all patients receive the highest quality care on a completely non-discriminatory basis as to sex, race, color, creed or national origin. Through our physicians and billing department, we will do our best to provide you with the knowledge of our services and the financial arrangements for the medical care provided. We are committed to providing the best quality care, while understanding the need to limit services to only those that are necessary.

It is the patient’s responsibility to provide complete and accurate billing information to our staff. Griffiss Surgery Center works with many insurance providers and insurance plans. Our billing department will file the appropriate reimbursement claims in an efficient and effective manner.

Deductibles and co-payments will be the patient’s responsibility at the time of his/her visit. Any non-payment fees not covered by the insurance provider will be the patient’s financial responsibility. Patients will receive a bill for their balance, with the appropriate adjustments, which is due upon receiving the bill. Griffiss Surgery Center accepts all patients regardless of their ability to pay. The Center has a Financial Assistance Policy where patients receive discounts on a sliding scale basis, based on family income and household size. If you need to make payment arrangements under the Financial Assistance Policy, please contact our Financial Assistance Coordinator at 315-533-5747.

Our physicians participate with Medicare/Medicaid. Any deductible, co-payment or portion not paid by the insurance provider is the patient’s responsibility. The same concept applies for HMO’s and PPO’s. It is the patient’s responsibility to understand the specific rules and regulations of his/her policy (i.e. referral requirements, pre-certification, limits on charges, specific location/physicians to use).

Participating Insurances

Griffiss Surgery Center participates in many insurance plans and health insurance companies. Insurances are constantly changing and it is recommended that you stay up to date with your specific coverage and plans. When coming in for a surgery, be sure to provide your current insurance plan and policy number.

Please note: Performing surgery typically involves the services of various providers. In addition to the Physician charge, you will receive a GSC facility charge and may receive a separate charge from the anesthesiologist and from the laboratory that performed your pathology reports. If you have any questions regarding your charges we will be happy to assist you.

We are required by the New York State Public Health Law Section 24 to provide information to our patients prior to providing services regarding the following:

  1. Health Care plans with which the center participates:
    • Aetna
    • CDPHP
    • Champva
    • Cigna
    • Emblem Health (GHI)
    • Empire Plan
    • Excellus Blue Cross/Blue Shield
    • Fidelis
    • HealthNow
    • Humana
    • Lifetime Benefit Solutions (RMSCO)
    • Mail Handlers
    • Martin’s Point
    • Medicare
    • MVP
    • NYS Medicaid
    • NYS No Fault
    • Pomco
    • PHCS/Multiplan
    • Railroad Medicare
    • Today’s Options
    • Tricare
    • United Healthcare
    • VA Hospital
    • Wellcare
    • Worker’s Compensation Plans

Participation with each insurance company includes all products they offer. Including all Health Exchange, Medicare and Medicaid plans.

  1. If the Center does not participate in the network of a patient’s health care plan, the amount or estimated amount the patient will be billed for health care services is available upon request. Contact our billing office at 315-367-0264 to make a request.
  1. Hospitals with which we are affiliated:
    • Rome Memorial Hospital

Contact information for billing

For all billing related questions please contact:

Billing Resources of CNY
131 Main Street
Oneida, NY 13421

Phone: (315)367-0264
Hours Monday-Friday 8:00 am-4:00 pm