PARC - KEY POLICIES OVERVIEW
Telemeds
- You will be given 5 days to fill out all forms, documentation, and provide photos as part of your administrative intake appointment. You will not have your telemed date assigned until this intake appointment documentation is completed and photos have been uploaded.
- Payment is due 14 days before the scheduled telemed date.
Patient Responsibility
- New Patient (1st Surgery with PARC) – All patient responsibility associated with surgery for new patients whether insurance or cash pay must be rendered within 3 days of scheduling.
- Follow Up Patient (Post-Op) (2nd or later surgeries with PARC) - All patient responsibility associated with surgery for returning patients whether insurance or cash pay must be rendered 90 days before the scheduled surgery date.
Scheduling & Date of Service Acceptance Deadlines
- New Patient (1st Surgery with PARC) – you will be contacted within 14 days of your telemed with your proposed date for surgery.
- Follow Up Patient (2nd or later surgeries with PARC) - you will be contacted within 30 days of the previous surgery to allow for claims processing before we provide you with a proposed estimate and surgery date.
- Due to patient volume and complexity, we cannot customize surgery dates. Our scheduling team will offer the best dates available based on the type of surgery required and the requirements of your treatment plan.
- When a surgery date is proposed, you will have 72 hours to accept the date and meet your financial responsibility. If you are unable to meet these requirements, it can take up to 60 days to schedule the next available appointment.
- All patient responsibility quotes provided at the time of scheduling are estimates and may change once claims process through your respective carriers. We do not provide payment plans and we do not reprocess benefits until after initial claims for a date of service have been submitted to the insurance companies.
HMOPSO
- The plans will require patientguardian participation to manage the PCP and associated referral processes. (See detailed HMO section of this document if you have an HMO).
International Travel
- Travel Visa or relevant travel verification is required no later than 90 days before surgery for all international patients. If this documentation is not obtained 90 days before surgery, the surgery will be automatically re-scheduled. It is recommended that you begin these processes 120-180 days before surgery.
Administrative Requests
- All administrative requests not related to an upcoming telemedsurgery or scheduling an upcoming telemedsurgery will be answered by our staff in 7 business days.
- These include, but are not limited to, website and post op pictures issues, receipt requests, balance inquiries or review of billing for previous surgeries, EOB reviews, insurance network status inquires for the purpose of selecting an insurance policy, etc.
- Inquiries for patient accounts more than 18 months old will be handled on a best effort basis. We will endeavor to address it within 7 business days and will reset the expectation as necessary.
FMLAImmigration Paperwork
- All FMLALeave paperwork will be provided no later than 14 days prior to surgery. You must request this paperwork from us no later than 90 days before surgery.
- Immigration Letters and documentation to support travel visas must be requested 120 days before surgery.
HBOT Referrals
- HBOT referrals will be provided no later than 30 days out from surgery.
- PARC will provide the referral to the facility of choice requested by the patient. Your insurance coverage and your personal preference and schedule determine which facility you choose and you will have to coordinate this directly with that facility. After we have provided the referral and any medical records necessary the responsibility to manage the HBOT process remains with the patient.
Anesthesia
- We work with an independent anesthesiologist – Sage Anesthesia – Dr. Robert Davis. You will receive separate quotes and contact them prior to surgery. They will have their own claims and responsibility you will be responsible for outside of PARC. If you are a Cash Pay patient, this is included in the price you pay PARC. You may reach out them directly at Sage 469-420-5840.
Cancellation
- All requests for cancellation or re-scheduling must occur 60 days prior to surgery.
- Anything requested after 60 days will be subject to a $2,000.00 cancellationre- scheduling due to the inability to fill the slot that was taken.
HMO Plans – All Carriers
Patient Guardian Engagement Letter
The Hypospadias Specialty Center & PARC Surgical
3716 Standridge Drive, The Colony, TX 75056
(o) 214.618.4405 (f) 214.618.5506
www.hypospadias.com
www.parcsurgical.com
Dated 11-1-25
If you are currently an HMO patient or you switch to an HMO during your surgical journey at any point, the following processes and procedures will apply.
If you have any questions, please feel free to reach out to me any time.
Sincerely,
Joshua Wilson COO - PARC
joshua@hypospadias.com
joshua@parcsurgical.com
KEY HMOPSO Policies and Procedures
- You have an HMO Plan that will require extension coordination and involvement by you with your PCP.
- The Telemed and scheduling process will not begin until you have received the necessary referral and approval from your provider and carrier that will allow you to proceed. Please carefully follow the referral process included in this engagement letter so that the plans will require patientguardian participation to manage the PCP and associated referral processes.
- You have the option to receive a cash pay quote for Telemed and surgery that you will have to pay according to our cash pay policy in this letter as you work your HMO process in parallel. Those fees will be collected according to that policy and held until the carrier and provided approval and all claims have been paid.
REFERRAL INFORMATION
- *If your insurance policy requires a referral to be treated by a specialist, please use the information below and have your Primary Care Provider submit an official referral directly to your insurance company for approval as well as a copy sent to our office via fax 469-722-5877 or email scheduling@hypospadias.com
- Referrals can be submitted through insurance portals, such as Availity, or over the phone with the referral/authorization department. Your PCP can utilize the phone number on the back of your insurance card.
SPECIALIST INFORMATION REQUIRED
Provider
Warren Snodgrass
NPI: 1366411803
Tax ID: 465516863
Provider
Nicol Bush
NPI: 1568664332
Tax ID: 465516863
Facility
PARC Surgical Center
NPI: 1841840758
Tax ID: 843025864
Specialty Type
Pediatric Urology/Urology
Address
3716 Standridge Dr Suite 200/100
The Colony, Texas 75056
Diagnosis Code(s)
Q54.0 Hypospadias, Unspecified
Q54.1 Hypospadias, Penile
***Due to the nature of the multiple stages/surgeries required for a hypospadias repair, please request the maximum number of visits/date range that insurance will allow.
Telemeds
- You will be given 5 days to fill out all forms, documentation, and provide photos as part of your administrative intake appointment. You will not have your telemed date assigned until this intake appointment documentation is completed and photos have been uploaded.
- Payment is due 14 days before the scheduled telemed date.
Patient Responsibility
- New Patient (1st Surgery with PARC) – All patient responsibility associated with surgery for new patients whether insurance or cash pay must be rendered at the within 3 days of scheduling.
- Follow Up Patient (Post-Op) (2nd or later surgeries with PARC) - All patient responsibility associated with surgery for returning patients whether insurance or cash pay must be rendered 90 days before the scheduled surgery date.
Scheduling & Date of Service Acceptance Deadlines
- New Patient (1st Surgery with PARC) – you will be contacted within 14 days of your telemed with your proposed date for surgery.
- Follow Up Patient (2nd or later surgeries with PARC) - you will be contacted within 30 days of the previous surgery to allow for claims processing before we provide you with a proposed estimate and surgery date.
- Due to patient volume and complexity, we cannot customize surgery dates. Our scheduling team will offer the best dates available based on the type of surgery required and the requirements of your treatment plan.
- When a surgery date is proposed, you will have 72 hours to accept the date and meet your financial responsibility. If you are unable to meet these requirements, it can take up to 60 days to schedule the next available appointment.
- All patient responsibility quotes provided at the time of scheduling are estimates and may change once claims process through your respective carriers. We do not provide payment plans and we do not reprocess benefits until after initial claims for a date of service have been submitted to the insurance companies.
International Travel
- Travel Visa or relevant travel verification is required no later than 90 days before surgery for all international patients. If this documentation is not obtained 90 days before surgery, the surgery will be automatically re-scheduled. It is recommended that you begin these processes 120-180 days before surgery.
Administrative Requests
- All administrative requests not related to an upcoming telemedsurgery or scheduling an upcoming telemedsurgery will be answered by our staff in 7 business days.
- These include, but are not limited to, website and post op pictures issues, receipt requests, balance inquiries or review of billing for previous surgeries, EOB reviews, insurance network status inquires for the purpose of selecting an insurance policy, etc.
- Inquiries for patient accounts more than 18 months old will be handled on a best effort basis. We will endeavor to address it within 7 business days and will reset the expectation as necessary.
FMLAImmigration Paperwork
- All FMLALeave paperwork will be provided no later than 14 days prior to surgery. You must request this paperwork from us no later than 90 days before surgery.
- Immigration Letters and documentation to support travel visas must be requested 120 days before surgery.
HBOT Referrals
- HBOT referrals will be provided no later than 30 days out from surgery.
- PARC will provide the referral to the facility of choice requested by the patient. Your insurance coverage and your personal preference and schedule determine which facility you choose and you will have to coordinate this directly with that facility. After we have provided the referral and any medical records necessary the responsibility to manage the HBOT process remains with the patient.
Anesthesia
- We work with an independent anesthesiologist – Sage Anesthesia – Dr. Robert Davis. You will receive separate quotes and contact them prior to surgery. They will have their own claims and responsibility you will be responsible for outside of PARC. If you are a Cash Pay patient, this is included in the price you pay PARC.
Cancellation
- All requests for cancellation or re-scheduling must occur 60 days prior to surgery.
- Anything requested after 60 days will be subject to a $2,000.00 cancellationre- scheduling due to the inability to fill the slot that was taken.
