If Barkley Surgicenter believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Barkley Surgicenter may initiate contact with them to determine your cost-sharing responsibilities for Barkley Surgicenter’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Barkley Surgicenter determines that you have cost-sharing responsibilities for Barkley Surgicenter’s bill, in accordance with Barkley Surgicenter’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. Barkley Surgicenter’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 Barkley Surgicenter, 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 Barkley Surgicenter to be “charity care.” There is no formal application process for obtaining “charity care” at Barkley Surgicenter. Barkley Surgicenter’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
Upon your request, and before the provision of non-emergency care at Barkley Surgicenter, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Barkley Surgicenter. This estimate must be provided to you within seven (7) days of the request being received by Barkley Surgicenter. 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 Barkley Surgicenter at (239) 275-8452.
Upon request and after discharge from Barkley Surgicenter we will provide a statement within 7 working days of your request.
Services may be provided in this health care facility by Barkley Surgicenter 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 Barkley Surgicenter. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Barkley Surgicenter may contract with providers for pathology and anesthesiology services; these services are billed separately from Barkley Surgicenter for their services. You may contact these providers through their contact information provided below.
UD Pathology
1000 Mansell Exchange West Suite 200
Alpharetta, GA 30022
Ameripath Southwest Florida
1620 Medical Lane Suite 100
Fort Myers, FL 33907
239-275-1164
www.ameripath.com
Quest Diagnostic
1635 Medical Lane
Fort Myers, FL 33907
866-697-8378
www.questdiagnostics.com
Mark and Kambour Pathology ( Aurora Diagnostics)
4665 Ponce De Leon Blvd
Coral Gables, FL 33146
786-268-6050
www.mkpathology.com
LabCorp
14131 Metro Ave #102
Fort Myers, FL 33907
239-477-2268
www.labcorp.com
Lee Memorial Outpatient Lab
16281 Bass Road # 203
Fort Myers, FL 33908
239-343-7200
www.leememorial.org
Upon request and after discharge from Barkley Surgicenter, Barkley Surgicenter 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.
To report a complaint or grievance, you can contact the facility Administrator by phone at (239) 275-8452 or by mail at:
Barkley Surgicenter
63 Barkley Circle, Suite 104, Fort Myers, FL 33907