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Our practice will assist you in obtaining authorization for treatment you need and deserve.
Advanced Surgical Solutions, LLC currently participates in several different insurance plans. Although we may not participate with all plans, we are able to provide services to most patients who contact our office for assistance.
Once patients have attended a seminar, if they are interested in proceeding with treatment, they are advised to schedule a first consultation with Dr. Vadim Gritsus by contacting our office at (973) 696-9050.
After the first consultation has been performed, Dr. Gritsus documents all pertinent medical information in the patient’s chart. Our surgical coordinator, Joann, then submits a letter of pre-determination to your insurance carrier to verify that benefits are available for this procedure. This is done for each individual policyholder, as benefits can vary from plan to plan.
Once a response is received which is usually within thirty (30) days for most plans, a request for precertification is then initiated. If there are specific policy requirements or criteria that your insurance carrier necessitates in order to render an insurance approval, we will explain each to you usually at the end of your first consultation.
A tentative surgery date is available to you at the time of your first consultation. This date may only be finalized once the insurance approval and all medical clearance requirements are met. If an insurance carrier requires longer than thirty (30) days to process, or if any medical requirements cannot be met within that time, your tentative date for surgery may need to change to a later date in order to provide you with the most thorough evaluation prior to your surgery.
Our insurance participation list changes periodically, so it is always best to contact our office for the most up-to-date information. You can reach our staff at (973) 696-9050 during normal business hours.
