Illinois Medical Center  •  1001 Main Street - Suite 500A  •  Peoria, Illinois 61606


Insurance and Billing

We are committed to giving you the best care possible. We expect in return that you have the same commitment to your medical and financial responsibility to us. The following is the financial policy for Illinois Gastroenterology Institute. You will be given a copy of a document called Financial Policy and Patient Agreement with these details as part of your patient forms.

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If you wish to discuss your account and/or set up financial arrangements, please contact our billing department at (309) 672-4980 and carefully listen to the prompt. We accept cash, checks or credit cards (Visa and MasterCard) as payment. There will be a $25.00 service charge on all returned checks.

If you have an office visit, we require that you pay $50 at the time of your office visit appointment. If you can pay for your office visit in full on the day of your appointment, you will receive a 15% discount.

As a courtesy to our patients, we will file your primary and supplemental insurance for you. However, you need to provide us with complete and accurate insurance information as well as a copy of your insurance card(s).

If we have an agreement with your insurance carrier, we will receive direct payment for covered services. Co-payments are due at the time of service. Deductibles and co-insurance amounts applied to the claim will be your responsibility. Services not covered or deemed not medically necessary by your plan will be billed to you and are your responsibility. If a referral is required, while we will assist you in getting the referral, you need to request it from your primary care physician and is your responsibility to obtain one.

If a referral is not in place, you will be responsible for payment or your appointment may be rescheduled until a referral is received from your primary care physician. If you are having a procedure performed at any of the four hospitals and a pre-certification for that procedure is required, it is then your responsibility to inform us. We will then obtain pre-certification for that procedure on your behalf. If your insurance company does not pre-cert the procedure, you will be notified prior to the procedure being performed. It is also your responsibility to inform our staff as to which hospital your insurance requires you to use.

Your insurance may or may not agree with the UCR (usual, customary and reasonable) charges for our local area. Your benefit plan may not cover all services or may even deny payment for services. You will be responsible for any remaining balance on your account once your insurance has processed our claim. Once again, it is also your responsibility to inform our staff as to which hospital your insurance requires you to use.

Our statements are sent monthly. We allow 60 days for your insurance company to respond to our claim. If they have not responded in that time frame, we will send you a bill for the outstanding amount. We ask that you begin making payments on your account while you resolve any payment issues with your insurance company. We expect all charges to be paid within 60 days following submission of our first bill to you. Should you fail to pay within the time frame, we will enforce our right to engage a collection agency to recover the outstanding amount owed. In addition to the charge for our services, you will be required to pay the collection agency fees which are typically 33% to 50% of the amount owed.

We will be happy to copy your records for you. If you need copies you must first sign a medical records release form which we can mail to you for your signature. Fees for copying records are $35.00 provided they are on site. Should we need to retrieve your records from an archive, the fee will be $45.00.

Illinois Gastroenterology Institute

Illinois Medical Center  •  1001 Main Street – Suite 500A  •  Peoria, Illinois 61606  •  Phone: (309) 672-4980  •  Fax: (309) 671-2931

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