Thank you for choosing Sioux Falls Specialty Hospital for your medical needs. This billing and financial information is being provided to assist in your understanding of your upcoming medical procedure.
If you have insurance, we will be happy to bill your insurance carrier. It is your responsibility to know your network coverage and benefits. If you should have further questions, please contact your insurance carrier. Many carriers require special codes and information for billing, which we can provide. Without this information, your claim will be delayed. Therefore, we require that you fill out the insurance form thoroughly. Please submit this form to us before surgery. If we do not receive this form before your date of service you will be required to fill it out upon arrival. Your cooperation is appreciated to ensure your medical claims process correctly.
We request that outstanding charges be paid monthly within a six month time period from the first billing statement. During this time, we request that you make six equal payments to clear your balance. It is your responsibility to pay any amount not covered by your insurance company. This payment policy excludes procedures not medically necessary. These are due at the time of service.
If you do not have insurance or if you have difficulty meeting the above payment requirements, please contact our Business Office at (605)-334-6806 or toll free at 866-725-5648, as we are always available to discuss payment plans.
In addition to receiving a bill from Sioux Falls Specialty Hospital, you may receive bills from your doctor's office, Anesthesiology Associates Inc., or Avera McKennan Lab if you have received services related to your procedure.
Thank you again for the opportunity to serve you.