Financial Assistance Policy

If AdventHealth Surgery Center Mills Park believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, AdventHealth Surgery Center Mills Park may initiate contact with them to determine your cost-sharing responsibilities for AdventHealth Surgery Center Mills Park’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If AdventHealth Surgery Center Mills Park determines that you have cost-sharing responsibilities for AdventHealth Surgery Center Mills Park’s bill, in accordance with AdventHealth Surgery Center Mills Park’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. AdventHealth Surgery Center Mills Park’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request AdventHealth Surgery Center Mills Park, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by AdventHealth Surgery Center Mills Park to be “charity care.” There is no formal application process for obtaining “charity care” at AdventHealth Surgery Center Mills Park. AdventHealth Surgery Center Mills Park’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.

Good Faith Estimate

Upon your request, and before the provision of non-emergency care at AdventHealth Surgery Center Mills Park, you can receive a good faith estimate of anticipated charges for the treatment of your condition at AdventHealth Surgery Center Mills Park. This estimate must be provided to you within seven (7) days of the request being received by AdventHealth Surgery Center Mills Park. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling AdventHealth Surgery Center Mills Park at (407) 420-0100. 

Itemized Bill

Upon request and after discharge from AdventHealth Surgery Center Mills Park we will provide a statement within 7 working days of your request.

Provider Disclosure

Services may be provided in this health care facility by AdventHealth Surgery Center Mills Park as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as AdventHealth Surgery Center Mills Park.  You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. AdventHealth Surgery Center Mills Park may contract with providers for pathology and anesthesiology services; these services are billed separately from AdventHealth Surgery Center Mills Park for their services.  You may contact these providers through their contact information provided below.

AdventHealth Surgery Center Mills Park Providers

U.S. Anesthesia Partners of Florida, Inc.
851 Trafalgar Court, Suite 200E
Maitland, Florida 35251
Billing: (888) 325-6084
Customer Service: (888) 339-8727

AmeriPath Central Florida
4225 Fowler Avenue
Tampa, FL 33617
Phone: 1.813.972.7100
Customer Service: 800-561-6991

AdventHealth Lab
601 East Rollins Street
Orlando, FL 32803
407-303-5600

Patient Health Record

Upon request and after discharge from AdventHealth Surgery Center Mills Park, AdventHealth Surgery Center Mills Park will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.

Link to Healthcare Related Data

Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.

www.Floridahealthfinder.gov

Patient Complaint or Grievance

To report a complaint or grievance, you can contact the facility Administrator by phone at (407) 420-0100 or by mail at:
AdventHealth Surgery Center Mills Park
1812 N Mills Avenue Suite 210 Orlando, Florida 32803