The hospital bill covers the cost of your room, meals, 24-hour nursing care, laboratory work, tests, medication, therapy, and the services of hospital employees. You will receive a separate bill from your physicians for their professional services.
As a service to you, Parkview will submit bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. You should familiarize yourself with the terms of your insurance coverage.
Coordination of Benefits
Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when both husband and wife are listed on each other’s insurance policies, or when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This can also occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance.
Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim, and every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company. You must resolve this issue with your insurance carrier in order for the claim to be paid.
Medicare
This hospital is an approved Medicare provider. All services billed to Medicare follow federal guidelines and procedures. Medicare has a COB clause. At the time of service, you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an MSP questionnaire and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company.
Medicare deductibles and co-insurance may be covered by your secondary insurance. If you do not have secondary insurance, you will be asked to pay these amounts. If you are unable to pay these amounts, we will help you determine if you qualify for a state-funded program.
Please be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, and others.
You will need to show a copy of your Medicare card to verify eligibility and process your claim.
Medicaid
This hospital is an approved Medicaid provider. All services billed to Medicaid follow federal guidelines and procedures. We will need a copy of your Medicaid card. Medicaid also has some payment limitations on a number of services and items.
Commercial Insurance
As a service to you, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information, such as policy number, group number, and the correct mailing address for your insurance company. We will ask for this information each time you are registered with us to ensure that we have the most updated information available. We will need a copy of your insurance card to process your claim.
Uninsured Patients
If you are in need of assistance with your hospital billing, you can contact the Financial Counseling Department at extension 1213.
The Financial Counselor will likely visit with you to make payment arrangements for your hospital bill. The Financial Counselor will work with you to determine if you qualify for financial assistance. Parkview offers a number of medical assistance programs for which you may qualify. If your bill is not settled while you are a patient, the Patient Billing Department will contact you for payment of your accounts. If payment arrangements are not established and no payment is made during the initial 90-day period, the account will be placed with a collection agency. If you have any questions regarding your billing statement, you can contact the Billing Department at (254)562-0408, extension 1520.