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Patient Information


HIPAA Notice

HIPAA Notice of Privacy Practices


This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.


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Good Faith Estimate

Good Faith Estimate


Right to Receive a Good Faith Estimate of Expected Charges

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.


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Patient Notice

Patient Notice


Your physician’s professional services provided at the facility are not included in the facility’s charges. Additionally, physicians who provide services in the facility may or may not participate with the same health benefit plans as the facility. Patients should check with their physician arranging facility services to determine the health benefit plans in which the physician participates.


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Surprise Medical Bills

Surprise Medical Bills


When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?


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Ambulatory Surgery Center

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732-553-9222


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400 Perrine Rd #408
Old Bridge, NJ 08857


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    We are an affiliate of Alliance Health Systems, LLC, partnered with local physician, and accredited by AAAHC, Ambulatory Surgery Centers (ASC). We are full licensed by the state of New Jersey and Medicare Certified.


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