PATIENT INFORMATION
ADULT SURGERY
PEDIATRIC SURGERY
PATIENT FORMS
Prior to surgery, please read through the following forms:
• Patients Rights & Responsibilities
• Notice of Privacy Practices
• Notice of Nondiscrimination
HEALTH INSURANCE
The following is a list of the Insurance Companies we participate with:
CDPHP
Cigna
EmblemHealth (GHI / HIP)
Empire Plan
Excellus (Blue Cross / Blue Shield)
Fidelis
HealthNOW
Lifetime Benefit Solutions (RMSCO)
Martin’s Point
Medicare Part B
Molina
MVP
New York State Medicaid
New York State No Fault (Auto)
Tricare
UMR
United Healthcare
Univera
VA Community Care
Wellcare
Workers’ Compensation Plans
CONTRACTED PROVIDERS
The physician services provided at the surgery center are not included in your facility (surgery center) charges and will be billed separately by your physician. Physicians who provide services at Upstate Orthopedics Ambulatory Surgery Center may or may not participate in the same health plans as the surgery center.
In addition to the facility and your physician, it may be necessary for other contracted providers to provide specialized services for you during your visit. These services may include anesthesia, laboratory/pathology services, and/or DME supplies.
The following is a list of other providers who my provide other services during your visit which they will bill separately:
University Pathologists Laboratories, LLP
Upstate Medical Anesthesiology Group
HOSPITAL AFFILIATIONS
Upstate Orthopedics Ambulatory Surgery Center maintains an affiliation with Upstate University Hospital.
PAY YOUR BILL ONLINE.
You can now pay your Upstate Orthopedics Ambulatory Surgery Center bill online by credit card, debit card, or electronic check. Please click the link below and you will be redirected to a secure, third party site to enter your payment information. You can reach our billing department directly at (315) 432-5960.
Phone: (315) 432-5960 | 6620 Fly Road, Suite 300, East Syracuse, NY 13057 | Pay Bill | Employment | Notice of Privacy Practices | Notice of Non-Discrimination
© 2017 Upstate Orthopedics Ambulatory Surgery Center | Created by erio marketing.