Collection Procedures

All patients with a patient responsibility balance will receive a monthly statement.

Statements which are sent before the expected insurance payment is received will clearly reflect the patient responsibility separately from the expected insurance payment.

The patient will be allowed to make a payment before the insurance pays.

The patient will be issued a refund if the patient overpays their account.

Refunds are processed at least monthly.

Insurance overpayments will not be issued to the patient, unless the center is instructed to do so in writing by the carrier.

Payment arrangements which exceed a three month payment plan will require a signed Facility Payment Plan document which will be issued by the center.

If a patient misses a payment during a payment arrangement the account will be considered delinquent and subject to collections procedures.

During the collections process the account may be sent to an external collection agency.

All accounts will be managed using the following schedule:

  • Once Insurance has paid the patient will receive a statement
  • If no payment is received or payment arrangements made after 30 days the patient will receive a statement and a “past-due” statement/letter
  • If no payment is received or payment arrangements made after 60 days the patient may receive a statement, a phone call and a “final notice” statement/letter
  • If no payment is received or payment arrangements made within 10 days of receiving the final notice the patient’s account may be referred to an external collection agency for further collection efforts


Collier Endoscopy and Surgery Center billing representative is responsible for management and oversight of the billing and collections processes at the center.