Frequently Asked Questions

FAQ

We understand your time is valuable and want to ensure you have the most time with your providers. We’ve addressed some of the most commonly asked questions about our practice, services, and insurance information.

Where is your office located?

We offer two convenient locations to make it easier to schedule doctor visits:

GastroIntestinal Health Nashville

Main Number: (615) 649-9940
Hours: 8:30am – 5pm
1916 Patterson Street Suite 503
Nashville, TN 37203

*Corner of 20th and Patterson St. – One block from St. Thomas Midtown ER
(Formerly known as Baptist)

GastroIntestinal Health Lebanon

Main Number: (615) 547-2334
Hours: 8:30am – 5pm
1420 W Baddour Parkway, Suite 130
Lebanon, TN 37087

*Across from Tennova Medical Campus – next to Pinnacle Bank
(Formerly known as UMC)

Do I need a physician referral to make an appointment?

Our office does NOT require a physician referral for a CLINIC appointment. We will need a copy of your records if you have seen another provider (i.e., primary care physician, GI specialist or ER) before visiting us at GIH.

With an HMO insurance policy, it IS a requirement by your insurance company that you obtain a specialist referral from your Primary Care Physician.

If you are unaware of the type of insurance policy you have, please contact your insurance provider directly for clarification. Failure to obtain this referral, if required, before your scheduled office visit may result in denial of a claim by your insurance carrier, therefore holding the patient financially responsible for services rendered.

Does your office require an insurance referral to make an appointment?

Yes, but only if you carry an HMO insurance policy.

HMO policies require you to obtain a specialist referral from your Primary Care Physician. If you do not receive this referral before your visit, your insurance may deny your claim which would hold you financially responsible for the services rendered.

If you are unaware of the type of insurance policy you have, please contact your insurance provider directly for clarification.

What if I don’t have a Primary Care Physician to make a referral?

While it is always a good idea to have a Primary Care Physician, one is not required to make an appointment with our office. Our office welcomes any patient who would like to schedule a consult with one of our physicians.

Are you in network with my insurance?

GIH accepts traditional Medicare, most Medicare replacement plans and most major insurances. You can view our list of accepted insurances by clicking here:

If your insurance company is not listed, please refer to the member services number on the back of your insurance card to discuss with an agent.

Do I have a co-pay and is it due at time of service?

Most co-pays are listed on the front of your insurance cards.

GIH is a specialist, and therefore a specialist co-pay would apply. Due to contractual obligations between a provider and insurance company as well as between patients and insurance companies, we are required to collect all co-pays at the time of service.

Do you accept self pay patients?

Yes. For more information you can contact our offices:

Do you offer a sliding scale rate for self pay patients?

No. While we accept self-pay patients, our rates are a discounted, flat fee. If you would like those rates, please contact our office.

Do you accept charity cases?

Unfortunately, at this time our office accepts charity on a case-by-case basis. For further information, please contact our office.

Do I need a consult before scheduling a procedure?

A patient’s medical history is critical to their safety during a procedure. A review of your medical history with your provider is required to ensure you are getting the best care and are safely sedated.

What form of sedation is used and how is it administered?

Propofol. Sedative is administered via IV. If you have a known allergy to the drug, please alert the facility in which you are scheduled when they call to review your medical history.

How much will this procedure cost me?

Insurance verification is done by the facility in which your procedure is scheduled.

While the goal of the facility is to notify all patients of their benefits and any payments due at time of service within two (2) weeks of your appointment, there may be instances where this may not always be possible. If you are nearing your procedure date and have not received your benefits, please contact the facility directly.

As always, you may contact your insurance company via the member benefits number on the back of your insurance cards for more information.

What do I need to bring to my appointment?
  • New patient paperwork
  • Insurance Cards
  • Photo ID
  • Co-pays
How do I access the patient portal?

Please contact our office directly to have the link emailed to you.

Which hospitals are your physicians affiliated with?

Our physicians are affiliated with St Thomas Midtown and Tennova Medical Center.

Can I take a taxi,Uber or other means of transportation from my procedure?

No, you must have a person with you that stays at the facility during the procedure.

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Frequently Asked Questions