Billing Questions

After receiving services at TSC, three financial statements will be issued to patients’ insurance carriers. The first corresponds to the physician’s services, the second to the facility fees, and the third to the anesthesia administration.

The TSC Business Office will determine the patient’s responsibility by reviewing his or her benefits package and calculating deductibles and coinsurance. Prior to your procedure, you will be notified of the estimated surgery deposit that should be paid on the day of the procedure or prior. Please review our Insurance page for more information or contact our Business office at (919) 596-8524 with questions or concerns.

In an effort to keep our patients informed, you will receive separate invoices from the following entities:
Surgical Facility – Triangle Surgery Center (TSC)
Surgeons Office – EmergeOrtho (formerly Triangle Orthopaedic Associates, P.A.)

Depending on your procedure you may also receive separate invoices from the following entities:
Anesthesia – Regional Anesthesia; Call (919)-470-6185 for anesthesia billing questions.
REX Pathology – if culture or specimen is obtained and sent for analysis.
Durable Medical Equipment – items such as crutches, sling, and/or immobilizer as applicable.

*Please note: Emerge Ortho, formerly Triangle Orthopaedic Associates, P.A., and Triangle Surgery Center (TSC) are two separate entities and each are billed separately. Our pre-surgical deposits are for services rendered by TSC only. You may also need to pay a separate deposit to EmergeOrtho for your surgeon’s fee.

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate and the bill

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email [email protected], or call 1- 800-985-3059.

GFE Triangle Surgery Center

Per NC § 131E-91(b) Fair billing and collections practices for hospitals and ambulatory surgical facilities.

Patient Refund Policy: If a patient has overpaid the amount due to the hospital or ambulatory surgical facility, whether as the result of insurance coverage, patient error, health care facility billing error, or other cause, and the overpayment is not in dispute or on appeal, the hospital or ambulatory surgical facility shall provide the patient with a refund within 45 days of receiving notice of the overpayment.

Questions? Contact [email protected]