INSURANCE & BILLING
 
At Mohawk Valley Endoscopy Center, our goal is to provide the best care available by understanding our patient’s needs for service, regardless of race, religion, or economic background. Our billing department, we will do our best to provide you with as much information as possible regarding our services and the financial arrangements for the medical care provided.
 
Performing gastroenterology procedures typically involves the services of various providers. Therefore you may receive more than one bill. In addition to the MVEC Physician charge, you may receive a separate fee from the anesthesiologist and the laboratory performing your pathology reports. If you have any questions regarding your fees, we will be happy to assist you.
 
It is the patient’s responsibility to provide complete and accurate billing information to our staff.
 
Mohawk Valley Endoscopy Center works with many insurance providers and insurance plans, and our billing department will file the appropriate reimbursement claims efficiently and effectively.
 
Deductibles and co-payments are the patient’s responsibility at the time of his/her visit. Any non-payment fees not covered by the insurance provider will be the patient’s financial responsibility. Patients will receive a bill for their balance, with the appropriate adjustments, which is due upon receiving the bill.
 
Mohawk Valley Endoscopy Center accepts all patients regardless of their ability to pay. The Center’s Indigent and Charity Care Policy states that no individual shall be denied medically necessary services based solely on their inability to pay for those services. All policies shall be implemented under State and Federal rules and regulations. The policy provides discounted fees for services on a sliding scale based on family income and household size criteria. To learn more about the Indigent and Charity Care Policy, please contact our billing department.
 
Our physicians participate with Medicare/Medicaid and accept Medicare claims. Any deductible, co-payment, or portion not paid by the insurance provider is the patient’s responsibility. The same concept applies to HMO’s and PPO’s. It is the patient’s responsibility to understand the specific rules and regulations of his/her policy (i.e., referral requirements, pre-certification, limits on charges, specific location/physicians to use).
 
Participating Insurances:
 
The Mohawk Valley Endoscopy Center participates in many insurance plans and health insurance companies. Insurances are continually changing, and it is recommended that you stay up to date with your specific coverage and plans. When calling in for an appointment, be sure to provide your current insurance plan and policy number.
Mohawk Valley Endoscopy Center participates in the following health care plans:
  • AARP
  • AETNA/AETNA PPO
  • AMERICAN POSTAL WORKERS
  • AMERICAN PROGRESSIVE
  • AMERICAN PROGRESSIVE PREM
  • CD PHP
  • CD PHP MEDICARE
  • CHAMPVA
  • CIGNA HEALTHCARE
  • DEFINITY HEALTH
  • EXCELLUS BCBS
  • FIDELIS
  • FIDELIS MEDICARE ADVANT.
  • FIRS UNITED AMERICAN LIFE
  • GHI
  • GREAT WEST LIFE
  • HUMANA
  • LIFETIME BENEFIT SOL.
  • MAILHANDLERS
  • MEDICAID NY
  • MEDICARE RAILROAD
  • MERITAIN HEALTH/REVERE
  • MVP
  • NATIONAL GOVERNMENT SERV
  • ONEIDA INDIAN HEALTH SER
  • PARTNERS HEALTH PLAN
  • TRICARE EAST
  • UHC COMMUNITY PLAN
  • UHC MEDICARE ADVANTAGE
  • UMR
  • UNITED HEALTHCARE
  • UNITED HEALTHCARE – EMPIRE
  • UNIVERA
  • UPSTATE ADMINISTRATIVE
  • VETERANS NON VA CARE 136E
  • WELLCARE
  • WELLS FARGO TPA
If Mohawk Valley Endoscopy Center does not participate in a patient’s healthcare plan or network, the amount or estimated amount the patient will be billed for health care services is available upon request. Contact the billing office at 315-624-7000 to make a request.
 

Cancellation Policy:

Each time a patient misses an appointment without providing proper notice, another patient is prevented from receiving care. 

DDM charges a  $50.00 fee for all missed appointments (“no shows”) and appointments, which, absent a compelling reason, are not canceled. A 48-hour notice is required for office appointments, and 72- hour notice is required for surgical procedures. This fee must be paid in full prior to scheduling any future appointments. We ask that you cancel only under the most stringent circumstances as your health is of utmost importance to us.

 
Contact Information for Billing:
Should you have any questions about billing or insurance (including Anesthesia and Pathology), please contact: 
Digestive Disease Medicine’s Billing Department:
116 Business Park Dr.
Utica, NY 13502
Phone: (315) 624-7000