Financial Assistance Policy
If Orange Park Endoscopy Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Orange Park Endoscopy Center may initiate contact with them to determine your cost-sharing responsibilities for Orange Park Endoscopy Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Orange Park Endoscopy Center determines that you have cost-sharing responsibilities for Orange Park Endoscopy Center’s bill, in accordance with Orange Park Endoscopy Center’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Orange Park Endoscopy Center’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Orange Park Endoscopy Center, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Orange Park Endoscopy Center to be “charity care.” There is no formal application process for obtaining “charity care” at Orange Park Endoscopy Center. Orange Park Endoscopy Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
Good Faith Estimate
Upon your request, and before the provision of non-emergency care at Orange Park Endoscopy Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Orange Park Endoscopy Center. This estimate must be provided to you within seven (7) days of the request being received by Orange Park Endoscopy Center. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Orange Park Endoscopy Center at (904) 643-3326.
Itemized Bill
Upon request and after discharge from Orange Park Endoscopy Center we will provide a statement within 7 working days of your request.
Provider Disclosure
Services may be provided in this health care facility by Orange Park Endoscopy Center 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 Orange Park Endoscopy Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Orange Park Endoscopy Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Orange Park Endoscopy Center for their services. You may contact these providers through their contact information provided below.
Orange Park Endoscopy Center Providers
Anesthesiology
Jax Anesthesia Providers, LLC
4800 Belfort Road
Jacksonville, Fl 32256
904-483-5850
Pathology
Borland Groover
4675 Linton Blvd Suite 203
Delray Beach, FL 33445
561-245-4550
561-245-4560
Patient Health Record
Upon request and after discharge from Orange Park Endoscopy Center, Orange Park Endoscopy Center will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.
Link to Healthcare Related Data
Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at (904) 643-3326 or by mail at:
Orange Park Endoscopy Center
805 Wells Road 1st Floor Orange Park, Florida 32073