Required Identification for Registration
The Federal Governments "Red Flag Rules for Health Care and Medical Practice" mandates that all our patients show a photo I.D. and we will match the I.D. against our patient file at every visit.
If you do not possess a photo I.D. issued by a local, state or federal government agency (Drivers license or passport), then two forms of I.D. must be presented, one of which has been issued to you by a state or federal agency (i.e. Social Security Card, utility bill or a company/school I.D.).
Please be aware that you may receive separate invoices from various other collaborating providers who provide services concurrent with your scheduled procedure:
- Anesthesia Services are provided by Medical Ancillary Services, PLLC.
- Pathology Technical Services are provided by Pathline, Orange Pathology, Histopathology Associates or US Path.
- Pathology Professional Services (reading & Interpretation) are provided by our pathologist Drs.C. Christian Rizk and Ruliang Xu.
You may receive a bill for these services in addition to the charges from Digestive Disease Associates of Rockland, PC
Some Insurance companies require Digestive Disease Associates of Rockland, PC to collect a co-pay for Pathology Service’s rendered by our physicians Drs C Christian Rizk and Ruliang Xu. If your insurance company advises us that a co-payment is due; we will bill you accordingly.
DDAR Cancellation Policy
We value your time so please be considerate of ours. Our available procedure time is VERY limited. With our backlog of patients needing procedures we believe it is unfair to other patients when a procedure time goes unused. We will impose a $75 cancellation fee if you cancel within 48 hours of your appointment.
Copies of Medical Records
DDAR will charge $.75 per page for copies of medical records requested up to a maximum or $75:00.
Nondiscrimination & Accessibility Policy
Digestive Disease Associates of Rockland complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Digestive Disease Associates of Rockland does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Digestive Disease Associates of Rockland provides free aids and services to people with disabilities to communicate effectively with us, such as:
Qualified sign language interpreters. Written information in other formats (large print, audio, accessible electronic formats. Language services to people whose primary language is not English with Qualified interpreters and/or Information written in other languages.
If you need these services, please contact Brian Sullivan, Practice Administrator. If you believe that Digestive Disease Associates or Rockland has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Brian Sullivan, Practice Administrator- 974 Route 45, Suite 2000, Pomona, NY 10970 845-354-3700 (phone) 845-354-5439 (fax), [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Brian Sullivan or his designee is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building, Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at https://www.hhs.gov/ocr/office/file/index.html.