Financial Information

Office Visit

After any appointments at Atlanta Gastroenterology, you can expect to receive the following bills:

  • Physician Fee: Fee to be paid to the physician for performing the service. This bill will be from AGA, LLC or AGA Professional Services, LLC.
  • Lab Fee: If a lab test is ordered, a second bill will come from a lab or a radiologist.

Some insurance companies require precertification for this service. We will make every effort to verify your benefits and obtain any necessary precertification prior to your appointment. This is not a guarantee of payment.

Your insurance company will send you an Explanation of Benefits that will explain how your bill was paid by them and any amount for which you may be responsible. It is your responsibility to understand your insurance benefits.

Some insurance plans require you to pay different out-of-pocket amounts based on the location where the service is performed. Deductibles, co-insurance and co-payments may also apply according to your insurance plan. By law, you are responsible for these amounts, as well as any non-covered services outlined in your health plan. We will submit primary, secondary and tertiary claims on your behalf as long as the information needed to process the claim is obtained and verified before your visit. If this information is obtained after your visit, the patient or guarantor is responsible for the balance.

We accept cash, checks and major credit cards. AGA and its affiliates collect co-payments at the time of service. Additional payment may be required based on your insurance plan. If you have a balance due at any affiliate of AGA, LLC, including AGA Professional Services, LLC and AHP of Georgia, LLC, your payment will be applied to the oldest balance first. In the event your account has a credit for one affiliate of AGA and a deficit for another, we reserve the right to transfer credits to any outstanding balances prior to issuing a refund.

If you are unable to keep your appointment, please reschedule at least 48 hours in advance. A missed office appointment will result in a $25 fee. A $30 fee will be incurred for returned checks.

Additional questions regarding billing or payment arrangements should be directed as follows:

  • For an upcoming visit, call the office where your appointment is scheduled and ask to speak to the financial counselor.
  • For previous visits, call 404.885.7701.
Procedures

If you have a procedure at one of Atlanta Gastroenterology Associate’s Endoscopy Centers, you can expect to receive the following bills as a result of services provided:

  • Physician Fee: Fee to be paid to the physician for performing the service. This bill will be from AGA Professional Services, LLC.
  • Facility Fee: Fee for the use of the facility for the surgical procedure and service overhead, including facility staff, equipment, supplies, etc. This bill will be from the Endoscopy Center where the procedure was performed.
  • Pathology Fee: If a tissue biopsy is required, there will be a fee for pathology. Specimens are sent to outside labs based on insurance or specific conditions. The bill will come from the facility where the pathology is processed.
  • Anesthesia Fee: Fee to be paid to the anesthesia group to cover anesthetic and vitals monitoring. This bill will be from Gastroenterology Anesthesia Associates, LLC.

Some insurance companies require precertification for this service. We will make every effort to verify your benefits and obtain any necessary precertification prior to your appointment. This is not a guarantee of payment.

Your insurance company will send you an Explanation of Benefits that will explain how your bill was paid by them and any amount for which you may be responsible. It is your responsibility to understand your insurance benefits.

Some insurance plans require you to pay different out-of-pocket amounts based on the location where the service is performed. Deductibles, co-insurance and co-payments may also apply according to your insurance plan. By law, you are responsible for these amounts, as well as any non-covered services outlined in your health plan. We will submit primary, secondary and tertiary claims on your behalf as long as the information needed to process the claim is received and verified before your procedure. If this information is received after your visit or if the information provided is deemed inactive for your dates of service, the patient or guarantor is responsible for the balance.

We accept cash, checks and major credit cards. AGA and its affiliates collect co-payments at the time of service. Additional payment may be required based on your insurance plan. If you have a balance due at any affiliate of AGA, LLC, including AGA Professional Services, LLC and AHP of Georgia, LLC, your payment will be applied to the oldest balance first. In the event your account has a credit for one affiliate of AGA and a deficit for another, we reserve the right to transfer credits to any outstanding balances prior to issuing a refund.

If you are unable to keep your procedure appointment, please reschedule at least 48 hours in advance. A missed procedure appointment will result in a $75 fee. A $30 fee will be incurred for returned checks.

Questions regarding billing or payment arrangements should be directed to the Billing Office: 404.885.7701.