Your Hospital Bill
[tab:Understanding Your Bill & Insurance Claim]
Understanding Your Hospital Bill and Insurance Claim
Your billing responsibilities: Processing Your Bill With Your Insurance
Please understand and comply with the requirements of your health plan by knowing your benefits, obtaining prior authorizations for services, submitting claim forms or completing a coordination of benefits form as your health plan may require. Your physician may have ordered tests or procedures that your health plan does not cover. In these cases, check your health policy plan handbook or call the telephone number on your insurance card for more information.
Please respond promptly to requests you receive from your health plan. While we will attempt to provide all information and paperwork to your health plan, sometimes they require a response from you to resolve issues related to your account or insurance coverage. If you health plan has not made payment within 60 days after billing, and has not responded to our attempts to resolve payment matters on your behalf, the balance owed may become your responsibility. Your insurance company will usually send you an explanation of payment they have made to providers on your behalf at the same time they make payment to the provider.
Hospital Bill Frequently Asked Questions
Please call us if you have any questions or concerns about a bill. The best number to call is always the number on the bill you are inquiring about. For your information, we have also listed the most frequently called numbers on the Helpful Numbers tab at the top.
What we will do for you
You may call the Business Office Monday through Friday during the hours 8 a.m. to 4:30 p.m. except on holidays. You may occasionally reach voice mail and if you leave a message a representative will call you back within 24 hours.
You will have access to a financial counselor or billing specialist to answer billing questions or assist you with payment issues. They will be able to assist you with questions concerning insurance benefits, hospital charges, payment options and applying for financial assistance.
You will be treated with dignity and respect. At ORMC, all patients will be treated with dignity and respect, regardless of your ability to pay.
You will have access to information on the hospital’s Charity and Financial Assistance Programs. Patients with balances resulting from limited or no insurance coverage may qualify for our charity care or financial assistance programs. These programs are designed to assist patients who are either financially or medically indigent. A financially indigent patient is a person who is uninsured or underinsured and is accepted for care with no obligations or a discounted obligation to pay for services based on income and family size. The hospital uses poverty income guidelines issued by the U. S. Department of Health and Human Services to determine a person’s eligibility for care as a financially indigent patient. ORMC may consider other financial assets and liabilities of the patient to determine ability to pay. The patient is responsible for providing information requested during the qualification process and will continue to receive a bill until eligibility for financial assistance has been determined. Please ask the financial counselor for information about these programs. Click here for a little more on financial assistance.
Thank you for choosing Oconee Regional Medical Center as your health care provider. We understand that hospital bills and health insurance claims can be confusing. With that in mind, we have provided this information to help you better understand billing issues. If you have any questions concerning this information about your bill, please call 478-454-3585, and you will be directed to the person most qualified to answer your questions.
In plain terms, we will try to help you understand what our hospital billing representatives can do to assist you, what you can do to assist us and your health plan, and how we can help you with your application for qualifying for government or other possible financial assistance programs.
[tab:A Word About Doctor’s Bills]
[tab:Tips for Medicare Recipients]
[tab:Helpful Telephone Numbers]
Helpful Telephone Numbers
Centralized Scheduling / Precertification Representative
Business Office Main Line
[tab:Managed Care Affiliates]
[tab:Hospital Bill FAQ]