Thank you for choosing Suburban Surgical Care Specialists, S.C. (SSCS). We will work hard to provide the highest quality of care.
Your clear understanding of our Financial Policy is important to our professional relationship. If you have any questions, please contact our Billing Department at 847-255-9697.
The patient, parent or legal guardian, is always responsible for payment. In consideration of services to be rendered, you, as the undersigned patient, parent, or guarantor, as applicable, agree to pay SSCS for all services and supplies provided to you (or the patient) at the established rates, including any deductibles, co-payments, coinsurances, non‐covered services or any other charges as permitted by third party payors. By signing this Financial Policy you accept responsibility for any costs, including attorney or collection fees incurred by SSCS for the collection of charges for examinations, diagnosis, or treatment provided. Prior to services being rendered you must furnish SSCS with accurate insurance information. For your convenience we accept cash, checks, VISA, MasterCard, and Discover.
SSCS will file your claim with your insurance company. Prior to services being rendered, SSCS may conduct insurance verification and provide you with the estimated patient responsibility portion of the overall charges. SSCS may require you to pay some or all of the estimated patient responsibility prior to services being rendered. Because your insurance carrier can only provide SSCS with an estimate of patient responsibility portion of the overall charges, once the claim has been processed, there may be additional amounts due from the patient. You will receive a statement for the additional balance due. If claims processing results in a credit balance on your account a refund will be processed within 30 days.
For more information on our insurance policies please see our Financial Policy Form.Prairie Pointe Medical
4885 Hoffman Blvd, #400 (formerly named Columbine Blvd.)
Hoffman Estates, IL 60192
Vein Center: 877.233.VEIN (8346)
Bariatrics: 866.716.KANE (5263)
Arlington Lakes Professional Center
1614 Central Road, Suite 211
Arlington Heights, Illinois 60005
James M. Kane Jr, MD, FACS
Peter C. Rantis Jr, MD FACS
Jonathan W. Wallace MD, FACS