HOSPITALS Our physicians have privileges to perform surgeries in Portland at Legacy Good Samaritan Hospital, Legacy Meridian Park Hospital and Providence St. Vincent Medical Center, and in Hillsboro at Tuality Community Hospital. Surgical residents receiving advanced training in surgery assist us at Legacy Good Samaritan and Providence St. Vincent hospitals; however, your own doctor will see you regularly and supervise all decisions regarding your surgery and treatment. SCHEDULING AND APPOINTMENTS Patients are seen by appointment only. We have three office locations to meet your needs, with one office located downtown close to Legacy Good Samaritan Hospital. Our second office is located in the Providence St. Vincent Medical Center office building (East Pavilion), and our third office is located in Hillsboro just across the street from Tuality Community Hospital. Please call the appropriate office to schedule your appointment. If you describe the nature of your problem to our receptionist, it will be easier to schedule a suitable appointment for you. If you are unable to keep your appointment, please call and let us know. 24-hour notice is appreciated. INSURANCE If you have insurance through an HMO or PPO plan, we will bill your insurance. HMO and PPO co-payments are due at the time of each visit. If you have a managed care or HMO health plan, prior to your appointment you will need to obtain a referral from your primary care physician, if needed. Ultimately, you are responsible for payment of your bill. If you need to make special financial arrangements for your surgery, or if you have questions about your financial responsibility, please contact our Billing Office by calling (503) 229-7431. MEDICARE Medicare requires we bill them directly for all your services. We receive 80% of allowable charges, and you are responsible for the remaining 20%. If you have supplemental insurance, we will bill that company after Medicare has paid us. We will send a monthly statement to you until the balance is paid in full. Please keep itemized statements for your records, since subsequent billings will reflect only: 1) payments made by Medicare, your supplement insurance, or you; and/or 2) adjustments to your account. BILLING AND PAST-DUE ACCOUNTS You will receive one itemized statement following any service we provide — this is the only statement that is itemized. All subsequent statements are "balance due" only. If you have questions regarding your account, please call our Billing Office at (503) 229-7431. Accounts are past due if not paid within 60 days after the first billing. We encourage you to discuss with our billing and collection specialist any problems concerning your account. If you have special financial problems, please let us know and a payment plan may be arranged. You can reach the Credit Manager by calling (503) 229-7431. We accept Visa and MasterCard. IMPORTANT REMINDER If you have a managed care or HMO health plan please remember to contact your primary care physician to obtain a referral prior to your visit. Your insurance company will not pay for visit without this referral. If your referral is not in place when you come for your visit and the insurance company has not authorized the visit, you will be given the choice to: Sign a waiver and pay a $75 deposit at the time of your visit; or Reschedule your appointment.