For Appointment
Upland - (909) 579-6721
Riverside - (951) 788-3930

Patient Information

Synergy CT Surgery Partnership is committed to clinical excellence and meeting your health care needs.

List of Insurance Carriers


Government:
  • California Medicare (Palmetto GBA)
  • California Medicaid (Medi-Cal)
  • Railroad Medicare (Palmetto BGA)

Commercial PPO:
  • Aetna
  • Anthem Blue Cross
  • Blue Shield of California
  • Cigna
  • Great West
  • Health Net
  • United HealthCare

HMO:
  • Regal Medical Group
  • PrimeCare Network
  • Riverside Physician Network
  • Riverside Medical Clinic
  • Upland Medical Group

Billing Coordinator


Medical Billing & Consulting Services of California, Inc.
Phone: (877) 289-1732

Our Office Responsibilities


  • We bill your primary and if applicable your secondary insurance company. For example, Medicare and MediCal, HMO, PPO. 
  • We accept cash, checks and major credit cards.
  • We will send you a statement to notify you of remaining unpaid balances. No statement will be sent to you until your insurance
    carrier has met their financial responsibility.
  • Our billing company will send out a statement for any unpaid balance. 

Patient Responsibilities


  • Bring your driver's license (ID), health insurance card or cards & authorizations to your first appointment.     
  • Inform our office of any changes with your insurance or health information.
  • Be prepared for your co-pay should it apply.

Patient Forms

The following form can be downloaded to your computer and printed at home. By filling out this form ahead of time you will save time at your visit. If you have any questions when filling out this form, please do the best you can, our staff will assist you with your questions on the day of your visit.
- Information Release

note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

In addition to the document above, please bring the following documents to your appointment:
  • List of any current medications you are taking.
  • Identification Card
  • Insurance Card
  • CD's of any current testing, such as Angiograms, Echocardiograms, CT Scans, Pet Scans, etc.