Have questions?

Phone: 407-264-9633

Fax: 407-264-9959

Credit and Payment Policy

There are a number of separate charges associated with your surgical procedure.  You MAY receive charges from several companies.

  1. Orlando for Outpatient Surgery
  2. Anesthesiologist
  3. Your surgeon’s office: his/her fee for performing your surgery.
  4. Your pathologist: services for tissue specimens removed during surgery requiring further examination.

Please contact your insurance company directly if you experience any delays.  YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company including Worker’s Compensation auto (no fault) and personal injury is legally responsible to you.  Our relationship is with you our patient not your insurance company.  Consequently, all charges incurred are your responsibility.  The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do.  You should normally receive a response from your insurance company within 30 days of your date of service.  If you experience a delay  it is expected that you contact your insurance company to check the status of your claim and to expedite payment.  Please call our Business Office at (407) 264-9633 if you encounter a problem with your insurance company and need our assistance.

Sand Lake’s policy is to turn over to an attorney or collection agency all accounts which are delinquent.  You will be responsible for any collection fees that are incurred.


Your coinsurance and deductible amount is due on or before your date of service.  We will submit your bill directly to your private insurance company.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance.  If you have no secondary insurance  a bill will be sent to you for any balance after receipt of payment or denial from your insurance company.  We must make a copy of each insurance card at the time of registration.

You will be contacted prior to your surgery with an estimated procedure cost for your surgery.


Chapter 59A-5.0065 require that each ambulatory surgical center shall develop and adopt polices and procedures to ensure the protection of patients rights.  A notice of the “Patient’s Bill of Rights” is posted in the waiting room.

If you have any complaints which arise out of these rights   for Outpatient Surgery maintains a grievance mechanism to resolve them.  If you have a complaint you may request a written response. The individual to whom you should address a grievance is:

Cheryl Modica,  Administrator
7477 Sand Lake Commons Blvd
Orlando, FL 32819
(407) 264-9633

If you wish to address a complaint to the State of Florida, please contact:

Agency for Health Care Administration
2727 Mahan Drive
Tallahassee, FL 2317-4000


If you wish to contact our accreditation board, please contact: