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Billing and Insurance

Billing and Insurance

Call Customer Service at (970) 569-7409 with questions.

We appreciate you choosing Vail Valley Surgery Center. As a part of our quality service, we feel it is important that patients and caregivers are well-informed of our payment policies.

If you have any questions about billing, please do not hesitate to contact our Customer Service Center. Our financial team can help you understand your bills, explain what to expect during the billing process, help you make a plan to ensure payment of your health care expenses, and help you apply for financial assistance if needed.

Good Faith Estimate & No Surprise Medical Bills

If you would like to receive a "Good Faith Estimate" explaining how much your health care will cost, please call our Insurance Support team at (970) 569-7595. They would be happy to assist you. We also fully support the “No Surprise Medical Bills” act and always work to provide accurate patient bills. Learn more about your patient rights as it relates to “Good Faith Estimates” and the “No Surprise Medical Bills”:

Services

Customer Service Center

Hours: Monday through Friday, 8:00 AM to 4:30 PM MST
Phone: (970) 569-7409
Fax: (970) 470-6604
Email: vvsc_billing@vailhealth.org    
Online: Pay Your Bill Online 
Mail: Bills can be mailed to: PO Box 1270, Vail, CO 81658

Services Billed Separately

Vail Valley Surgery Center does not bill for the following services:
  • Anesthesia Partners of Colorado
  • Colorado Mountain Medical
  • Durable Medical Equipment (such as Breg or Med Vantage)
  • Home Oxygen Vendors (such as Lincare or AlpinAire)
  • The Steadman Clinic
  • Vail Valley Surgery Center Hospital
  • Vail-Summit Orthopedics & Neurosurgery
*This is not an exhaustive list.

What To Do Before You Need Care

We encourage you to become familiar with the terms and conditions of your health insurance coverage and review any changes each year. Understanding your insurance coverage can help you avoid unnecessary bills. If you are unsure of your co-pay responsibilities, please review your insurance card, call your insurance company, or call an Insurance Verification Team representative at (970) 569-7595.

Billing Your Insurance Company

Vail Valley Surgery Center will submit bills to your insurance company when complete information is supplied. Please remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your facility bill. If your insurance company does not pay within 45 days of billing, please contact them to resolve the delay. Secondary insurance is billed after the primary insurance pays. If you were unable to provide complete billing information at the time of your visit, please phone the information to our Customer Service Center within 48 hours. For more information, please call (970) 569-7409.

Payment Options

Vail Valley Surgery Center expects payment at the time services are rendered. Estimated co-pays, co-insurance, deductibles and fees for non-covered services are expected at the time of service. If you are unable to pay your bill in full, please call (970) 569-7595 to set up a payment plan.
 
Online: Pay your bill online by using Visa, MasterCard, Discover, American Express and personal check/ACH.
Mail: Or pay by cash, personal check or credit card via mail at: PO Box 1270, Vail, CO 81658.
In-person: Patients are also welcome to visit our offices to discuss a bill or pay in person: 320 Beard Creek Rd., Edwards, CO 81632. Our office hours are 8:00AM – 4:30PM, Monday - Friday.

Financial Counseling

Financial Assistance is available to establish the financial requirements for payment of services based on consistent compliance criteria incorporating individual patient financial conditions and circumstances. If you do not have health insurance and cannot pay in full at the time of service, please call our financial counselors at (970) 569-7409.

Billing & Insurance Frequently Asked Questions

What is your billing process?

  1. After your physician schedules your surgery, an insurance verification specialist will call your insurance company for a list of your benefits. Based on the information provided by your insurance company, the insurance verification specialist will prepare an estimate of your financial responsibility. Please note that this is offered as a courtesy to the patient. It is ultimately the patient's responsibility to confirm benefit information with their insurance company.
     
  2. You will receive an estimate of your financial responsibility. This may include co-pays, co-insurance, deductibles, and fees for non-covered expenses, and will be due prior to or at the time of service.
     
  3. The Surgery Center will bill your insurance promptly after your surgery. Based on your insurance and the amount you paid prior to surgery, you may not have any financial responsibility, additional financial responsibility, or you may receive a refund. Please note, it is ultimately the responsibility of the patient to provide the insurance company with any supplemental information they need to process the claim. Please contact your insurance company if you have questions about your coverage.

Which insurance do you accept?

VVSC currently accepts the following insurance contracts:
  • Anthem BC/BS
  • Cigna/Great West Healthcare of Colorado
    • Preferred Provider for Town of Vail and Eagle County Government
  • Cofinity
    • Preferred Provider for Town of Avon and Sonnenalp
  • Colorado Workers’ Compensation
  • Government Employees Hospital Association (GEHA)
  • Humana "Choice Care Network"
  • Medicaid
  • Medicare
  • MultiPlan, Inc./PHCS
  • Rocky Mountain Health Plans
  • United Health Care
    • Preferred Provider for Vail Health Hospital and Vail Resorts
Please note that while VVSC is contracted with the aforementioned payers, all plans offered by these companies may not be accepted by VVSC and/or may be considered out-of-network. Please contact your insurance provider for the coverage specific to your plan.

How can I pay my bill?

We accept Visa, MasterCard, American Express and Discover credit cards, in addition to checks, cash. Online bill pay is available for patients whose financial responsibility exceeds what was collected in advance of the procedure.

I do not have insurance; how will my fees be collected?

Self-pay patients are required to pay in full prior to the time services are rendered. If you have questions about your estimated financial liability, please contact (970) 569-7595. Please note that all quotes are estimates only.

My injury is covered by Workers' Compensation. What do I need to do to have the claim paid?

The Surgery Center must obtain verbal authorization or a letter of authorization from the workers' compensation carrier for any patient whose injury is work-related. The Surgery Center will need a valid claim number or case number, contact person and their phone number, date of injury and appropriate billing address to ensure proper claim filing.

I paid my physician’s office directly. Why am I paying VVSC?

The fee paid to your physician covers only the physician’s charges. The amounts paid to VVSC are the facility fees. In addition to the physician and facility, you may be charged for other services, including, but not limited to:
  • Anesthesia
  • Imaging
  • Laboratory
  • Pathology
  • Physical Therapy
  • Rehabilitation Equipment

What are VVSC's fees for their most commonly performed procedures?

Click here to learn more.