Insurance & Billing

We participate with Medicare, Virginia Medicaid, Humana Military/Tricare, and most

major commercial insurance plans, including Anthem, Cigna, and UnitedHealthcare.

To verify participation with your specific insurance plan or network, please contact our Billing Department at (804) 330-4901 prior to your appointment.

Patients without medical insurance will be required to provide a deposit before their

initial office visit or procedure. To discuss account balances and payment arrangements, please contact our Billing Department at (804) 330-4901.

If you are enrolled in an HMO plan, please contact your insurance carrier to determine

whether a referral is required before scheduling an appointment with a specialist.

If a referral is required, it is the patient's responsibility to coordinate with their primary

care provider and insurance carrier to obtain the necessary authorization before the

appointment.

Patients who do not obtain a required referral may be asked to sign a waiver

acknowledging financial responsibility for services not covered by their insurance plan.

Patients are responsible for any applicable co-payments, deductibles, co-insurance, and

other out-of-pocket expenses required by their insurance plan. Payment is due at the

time of service.

We accept most major credit cards, cash, personal checks, and contactless payment

options, including Apple Pay and Google Pay.

Questions regarding insurance benefits or coverage should be directed to your

insurance carrier.

Endoscopic procedures are performed in an outpatient setting, either at one of our

endoscopy centers or at a hospital outpatient facility.

Depending on your procedure and where services are provided, you may receive

separate bills for:

• Physician services
• Anesthesia services
• Pathology services (if tissue samples are collected)
• Facility charges

These services may be billed separately and processed independently by your

insurance carrier.

If you have questions regarding insurance coverage or anticipated out-of-pocket

expenses, please contact your insurance carrier prior to your procedure.

Before your procedure, it is important that you understand how your colonoscopy will be

classified. Please request the pre-procedure diagnosis code (reason for the procedure)

from the person scheduling your procedure and contact your insurance carrier to

confirm:

• Whether a colonoscopy with this diagnosis is covered under your plan
• Whether it will be processed as preventive or diagnostic
• If diagnostic, whether charges will apply to your deductible and, once met, to coinsurance
• Any estimated out-of-pocket costs under your plan

If your procedure is scheduled at Virginia Endoscopy Group – North, please inform

your insurance carrier that the procedure will be performed in an office-based

outpatient setting.

If your procedure is scheduled at Richmond Endoscopy – Westchester or West

Creek Endoscopy Center please inform your insurance carrier that the procedure will

be performed in an Ambulatory Surgery Center (ASC) setting.

If your colonoscopy is expected to be classified as diagnostic and applied to your

deductible, please contact our Billing Department at (804) 330-4901 for an estimate of

your financial responsibility.

Please understand that our physicians cannot change a diagnosis solely for

insurance coverage purposes. The diagnosis must accurately reflect your medical

history and the information provided during your pre-procedure assessment. This

requirement is mandated by federal regulations and insurance contract guidelines.

Please notify our Billing Department if:

• You insurance coverage changes.
• Your mailing address or contact information changes.
• You are experiencing financial hardship that may affect your ability to pay your account.
• You have questions regarding your billing statement.

To update your information or discuss your account, please call our Billing Department

at (804) 330-4901.