Questions about your bill?

Call our billing office at 855-800-7032.

At any time you have questions about your bill (how much do I owe? Was the insurance billed? Did the insurance pay? Was my secondary insurance billed? Do you know I have a different insurance? Why did the insurance say they didn’t pay? What options do I have for paying my bill? Is there financial assistance for paying my portion of the bill? Can I have an itemized statement so I can see all the separate charges?), please feel free to call our billing office at: 855-800-7032.

Plain Language Definitions (for reference when talking to insurers)

Billing Frequently Asked Questions

1. Should I bring my insurance card and picture ID with me?
Yes, the information on your insurance card is needed to file a claim with your insurance company or companies. When you register we will ask for information about your insurance coverage.

You should also be aware that your insurance card contains important information about the co-pay amounts you are responsible for on different types of service. Please be sure to review your health insurance handbook or website prior to your trip to the hospital, if possible.

We’re required to look at your picture ID to help prevent identity theft and establish we have the correct patient and the correct medical chart. Making sure we obtain your previous medical information is vital to taking good care of you.

Remember, the registration process goes much faster when you bring complete insurance information with you.

 2. Do I have to pay my co-payment at the time of registration?
Yes, you are expected to pay your co-payment when you register. Your insurance card should indicate the dollar amount of the co-payment required for each type of service. If you have questions regarding co-payment amounts, please contact your insurance company, your employer, or your health insurance handbook or website.

 3. How will I know if a service is covered by my insurance?
Many health insurance plans cover all or part of your medical charges, but policies vary widely on which procedures, services or items an insurance company will cover. Because policies are often customized, we do not always know what your policy covers. In order to maximize your health insurance benefits, it is very important that you familiarize yourself with the policies and benefits outlined in your health insurance handbook or website.

Questions to ask your insurance company:

  • Am I covered for (service/item name)?
  • What are my benefits for (service/item name)?
  • Do I need a referral or prior-authorization from my primary care doctor for (service/item name)?
  • Is the clinic/hospital/provider I’m going to a participating / in- network provider? If not, how will that effect what I have to pay?

4. How will I know if my insurance company has paid my bill?
Your insurance company is responsible for sending you an explanation of benefits (EOB) when it pays your hospital bill. You should usually receive this from your insurance company before you are billed by your provider.  If you have any questions regarding any information on the EOB, please call your insurance company for details. The hospital/clinic billing office will receive information from your insurance company regarding how much they paid, and how much we are to bill you. But many times, the information we receive from the insurance has different details the information you receive.

 5. What is Pre-authorization and what does this mean?
Pre-authorization is the approval by your insurance company to proceed with surgery or a special procedure. Many procedures or surgeries require preauthorization from you insurance. You must verify that this is done by the physician who will perform the procedure. Obtaining preauthorization does not guarantee that your insurance company will pay the bill.

 6.  Can I see an itemization of my charges?

Absolutely any time you want to see an itemization of your specific charges, please call the billing office and they’ll be more than happy to mail this out to you. In keeping with industry standards in an effort to be environmentally responsible, we provide a summary statement to all patients and an itemization at any time upon request. 

7. When is my annual "wellness" visit covered and what does it cover?

Most insurers now cover an annual "wellness" visit every 12 months. However, please be aware of two things: 1) If during your exam an unexpected illness or condition is presented that needs attention and/or treatment by the provider, it is no longer considered a "wellness" exam and your regular copays and deductibles will apply. You can then re-schedule your annual wellness visit. 2) Only the provider visit is considered your "wellness" exam. That does not include any ordered tests. Most insurers pay for very few "screening" diagnostic tests as a part of wellness visits. You should check with your insurance regarding which screening tests are covered, how often, and then you might want to obtain an estimate on your other screening tests ordered during your wellness visit.

If you have additional questions, please call: Patient Billing Assistance at 855-800-7032.