GREENVILLE HEALTH SYSTEM / University Medical Group
Please read this financial policy carefully. If you have any questions about this policy, any member of our staff will be glad to assist you.
The following are the conditions for services provided to the patient by Greenville Health System, GHS Partners in Health, and the various entities and providers affiliated with them each individually and collectively referred to as Greenville Health system University Medical Group or GHS UMG.
Payment for Service: Each office will inform you of co-pay and deductible amounts at check in or check out. These amounts are due at the time of service. As a courtesy to you, we will file your insurance claims if you provide us with a copy of your insurance card. We require that you pay your deductible, co-payment, and/or charges not covered by insurance.
Method of Payment: You may pay your bill with cash, personal check, certain credit cards, or debit card.
Returned Checks: A $25.00 service charge will be added on all checks returned to us for insufficient funds.
Non-appointment prescription refills: A $15.00 charge per incidence may be added for non-appointment prescription refills.
Non-appointment prescription: A $25.00 charge may be billed to you for new prescriptions filled via phone.
Completion of medical forms: There may be a charge for completion of forms such as disability, camp physicals, etc.
Copies of Medical Records: There may be a charge for completion of this process; SC Sec. 44-7-325 for Health Care Facilities
- $.65 per page for the first 30 pages
- $.50 per page for all other pages
- Clerical fee not to exceed $15.00
- Plus actual postage
No-show Appointments: A fee of $25.00 for a follow up visit and $50.00 for a new patient visit or endoscopy procedure may be charged for all missed appointments not cancelled at least 24 hours prior to the appointment time. You will be financially responsible for the fee, as insurance plans do not cover these charges. You may notify our office of any cancellations by calling during normal office hours.
Payment for Services Provided by Certain Non-UMG Providers: If you are having laboratory and/or diagnostic services by providers other than this office or other practices doing business as GHS University Medical Group, you may be billed separately by that service provider. This includes services provided by Greenville Health System.
Collection Policy: Delinquent accounts will be forwarded to a collection agency. We will inform you of your account status on your statement. If you are unable to pay your balance promptly, please call us at 864-454-2000 or 1-888-284-6024 to make payment arrangements. We will attempt to contact you by letter before your account is forwarded.
Questions: We are here to help should you have any questions regarding your statement or insurance.