Billing & Insurance

Forest Country Anesthesia, PC (FCA) is a private physician practice. Our fees for anesthesia services provided by our physicians and certified registered nurse anesthetists (CRNA) are not included in the hospital bill or surgery center bill. You will receive a separate bill for the Anesthesiologists’ services.

FCA contracts with Medac, an outside vendor, to manage our billing services. Medac obtains your demographic and insurance information directly from the hospital or surgery center facilities, so it is very important that the most current information be presented to the facility at the time of registration.

You will receive two bills for your anesthesia service. One bill is from the hospital or surgery center, representing charges for the facilities’ equipment and drugs used during your anesthesia. The second bill will be from our private medical practice.

The cost of our services will depend on:

• Type of surgical procedure
• Time required for the entire procedure
• Your general health, any medical conditions you may have and age
• Ancillary services required, such as regional anesthesia for postoperative pain management, placement of special invasive catheters for monitoring, etc.

Our surgical anesthesia service fee includes preoperative evaluation, administration of the anesthesia and post-operative medical management in the recovery room.

Insurance Claims

At FCA, we understand it is difficult to manage insurance claims and your health. Medac’s experienced billing staff will file your primary and secondary insurance claims and work with you to ensure your claim is paid properly.

We work with HMO’s, PPO’s, Medicare, Medicaid, Tri-care, Worker’s Compensation and commercial carriers. We currently participate in the following plans:

• Blue Cross / Blue Shield of Arizona
• Medicare and Senior HMO
• Indian Health Services
• AHCCCS (Arizona Medicaid)
• Aetna
• AHP
• Interplan
• Arizona Foundation Medical Center
• Cigna
• Health Management Network
• Great West
• Health Net
• Lifewise Health Plan of Arizona
• NARBHA
• Tri-west/Tri-care
• United

If your insurance company is not listed, we recommend that you contact your insurance company prior to your surgery or procedure to discuss your out-of-network benefits. Patients with out-of-network coverage will receive a monthly statement showing the status of your account. If you have not received an explanation of benefits (EOB) from your insurance company within 60 days, you may want to contact your insurance carrier directly to determine the status of the claim. The insurance company may have “pended” our claim (put a hold on payment) while they gather additional information.

Patient Payment Responsibility

After your insurance claim has been processed and your balance has been calculated (for those insurance companies which we participate), you will receive a bill from our billing service for the amount you owe.

Payment of your balance is due within 30 days from the receipt of your first statement. Delinquent balances may be subject to a penalty and referred to our collection team. This can be avoided by paying your balance promptly. We accept cash, check or credit card.  You may make payments, update your address, or insurance information 24 hours a day by going to www.patientaccounts.net

If your insurance information or mailing address changes, or if you have questions concerning your patient account or you wish to make payment arrangements, you can call our billing service at 1-855-751-6050. Billing office hours are Monday-Friday, 8:00 a.m. to 7:30 p.m. EST, except holidays. To better serve you, please be prepared to provide the following information when contacting them:

• Account Number
• Patient's Name
• Guarantor's Name
• Primary and/or Secondary Insurance Carrier
• Insured's insurance ID number and Group Number
• Daytime Contact Number
• Date of Services (date of surgery)

Uninsured Patients

Patients without insurance will receive a bill shortly after services are rendered. Payment is due within 30 days after receipt of your first statement. For your convenience, we accept cash, checks and credit cards. We understand expenses associated with surgery can be overwhelming. Therefore, if you are having a problem paying your bill, please call our billing service at 1-855-751-6050 and Medac’s experienced staff will discuss ways in which we might be able to help.

Quality Service

FCA’s goal is for our physicians, staff and billing representatives to obtain accurate patient care reimbursement to which we are legally and ethically entitled in a manner that fully adheres to applicable laws, regulations and guidelines. If you have any concerns or questions about the accuracy or processing of your patient billing information, please address it with the billing service by calling 1-855-751-6050. If you need further assistance with a question or concern, please feel free to contact FCA’s business office at 928-773-2505.