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Billing Assistance
Southeastern Med is committed to fulfilling our
mission of providing the highest quality of care to all our
patients. To ensure this commitment we must also be financially
responsible. Our goal is to receive payment for services in the most
efficient and customer friendly way possible because we value our
patients.
We understand that billing and collection for services rendered can
be confusing therefore, to assist you in understanding these billing
services and to answer any questions you may have, our highly
trained associates are available to help. Please remember, the
ultimate financial responsibility for payment lies with you, the
patient, not the insurance company.
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Contact Information
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Pre-Certification
•
Billing
•
Financial Assistance
•
Income Guidelines
•
Payment Information
•
Frequently Asked Questions
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Business Office |
Cashier’s Window |
|
1520 Maple Ave. |
(located in the main lobby
in the hospital) |
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PO Box 610 |
1341 Clark St. |
|
Cambridge, OH 43725 |
Cambridge, OH 43725 |
|
(740) 439-8140, option 1 |
(740) 439-8140, option 3 |
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Monday – Friday |
Monday: 9:00am – 3:30pm |
|
8:00am – 4:30pm |
Tuesday – Friday: 8:30am
– 3:30pm |
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Business Office: |
(740) 439-8140, option 1 |
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Financial Assistance: |
(740) 439-8140, option 2 |
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To make a payment: |
(740) 439-8140, option 3 |
*Business office and Cashier’s
window are closed weekends and major holidays.
It is important for you to know if your insurance requires a
per-certification in order for payment to be made for your services.
If pre-certification is required, please inform your physician
immediately upon arrival so there will be no delays in processing
your registration and/or admission to the hospital. Please help us
protect you from having your insurance claim denied for failure to
pre-certify. Failure to pre-certify additional days may result in
reduced benefits or denial of your insurance claim. In some cases,
if your insurance company denies the claim due to failure to
pre-certify, you may be held responsible for full payment of the
claim.
We accept all insurances including Medicare and Medicaid. Please
bring your insurance cards with you so we can obtain all the
necessary information for timely billing of your insurance.
Southeastern Med is a member of most networks; however, your
insurance company may require a higher deductible or co-insurance
rate. Contact your insurance company to find out if Southeastern Med
is in your network.
If you have current insurance coverage, our business office will
submit your medical bill to your insurance company. Generally, it
takes no longer than 30 days to complete insurance claim processing.
Please contact your insurance company direct, if you have not heard
from them within 30 days, or call our billing office at
740-439-8140, option 1.
Patients with balances owed resulting from being under insured or no
insurance coverage may qualify for one of our financial assistance
programs. These programs are designed to assist patients who qualify
financially based on guidelines issued by the U.S. Department of
Health and Human Services to determine a person’s eligibility for
care.
You will continue to
receive bills until the qualification process has been completed and
a determination has been made. Please feel free to ask our financial
counselors for more information about these programs by calling
740-439-8140, option 2.
HOSPITAL CARE ASSURANCE & CHARITY CARE APPLICATION
2009 HCAP/Charity & Sliding Scale Guidelines
(Guidelines based on Gross annual income)
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HCAP |
Charity Care |
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Family Size |
(100%)
(100% off bal) |
(150%)
(100% off bal) |
151-175%
(75% off bal) |
176-200%
(50% off bal) |
201-250%
(25% off bal) |
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1 |
$
10,830.00 |
$
16,245.00 |
$
18,952.50 |
$
21,660.00 |
$
27,075.00 |
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2 |
$
14,570.00 |
$
21,855.00 |
$
25,497.50 |
$
29,140.00 |
$
36,425.00 |
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3 |
$
18,310.00 |
$
27,465.00 |
$
32,042.50 |
$
36,620.00 |
$
45,775.00 |
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4 |
$
22,050.00 |
$
33,075.00 |
$
38,587.50 |
$
44,100.00 |
$
55,125.00 |
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5 |
$
25,790.00 |
$
38,685.00 |
$
45,132.50 |
$
51,580.00 |
$
64,475.00 |
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6 |
$
29,530.00 |
$
44,295.00 |
$
51,677.50 |
$
59,060.00 |
$
73,825.00 |
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7 |
$
33,270.00 |
$
49,905.00 |
$
58,222.50 |
$
66,540.00 |
$
83,175.00 |
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8 |
$
37,010.00 |
$
55,515.00 |
$
64,767.50 |
$
74,020.00 |
$
92,525.00 |
2009 HCAP/Charity Guidelines are effective as of Friday, January 23,
2009
**Add $ 3,740.00 for each
additional family member with more than 8 members**
Sliding Scale is effective for all dates of service after May 1,
2006.
| Southeastern Med
accepts different forms of payment. We accept: |
| • Visa,
Master Card, Discover |
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Interest free payment plans |
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Financial assistance |
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Discounts for payment in full |
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| • Mail payment to: |
SEORMC |
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PO Box 610 |
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Cambridge, Ohio
43725 |
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Payment by phone with Debit or Credit Card: |
740-439-8140,
option 3 |
| • Payments accepted
at the Cashier’s window located in the hospital lobby.
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Monday – 9:00am – 3:30pm |
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Tuesday – Friday – 8:30am – 3:30pm |
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*Business office and Cashier’s
window are closed weekends and major holidays.
| 1. |
What did I get in the mail? |
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Billing Courtesy Notice -
This notice is sent as a courtesy to you. We are not
requesting any payment, rather we want to explain what
you can expect from a billing perspective once you have
received care from us.
Summary Statement – This is
the first bill you will receive. It shows the itemized charges and any payments
that were made on your account. Southeastern Med offers
a 15% discount on accounts that are paid in full within
the first 30 days. The Summary Statement reflects this
discount.
Billing Statement – You will receive a bill each month a
balance remains on your account. This will reflect the
previous balance due, any payments received since the
last statement, and the current balance due. |
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| 2. |
Does Southeastern Med accept my insurance? |
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Southeastern Med accepts all insurances. You need to
contact your insurance company or your employer for
specific requirements for your plan. |
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| 3. |
I
have insurance with the VA. Will you bill them for my
services? |
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Southeastern Med does send claims to the VA. Be advised
that if you receive services in our emergency
department, the VA does require notification of that.
Please call them when you return home. |
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| 4. |
Why
am I receiving multiple bills for one visit? |
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When
you come to the ER you are treated by hospital staff and
the emergency room physician. The hospital has a
facility charge and the doctor has a professional
charge. If you receive radiology services during your
visit you will also receive a bill from the radiologist
that interprets your tests. |
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| 5. |
Why
did I get a hospital bill when I was not at the
hospital? |
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When
you visit your doctor and he performs a test that cannot
be processed in his office, the specimen is sent to the
hospital lab for processing and charges are incurred. |
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| 6. |
Does Southeastern Med accept credit cards? |
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Yes.
Visa, Mastercard, and Discover are accepted. You may
also pay by cash, check or money orders. |
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| 7. |
How
far back can I apply for financial assistance? |
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You
can apply for financial assistance as far back as three
years. Example: If your date of service is September 10,
2007 you can apply for assistance as far back as January
1, 2004. |
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| 8. |
Can
I apply for financial assistance if my account is in
collection? |
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Yes.
As long as it is within the three year window as shown
in the example above. |
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| 9. |
If
legal action has been taken against me regarding my
hospital bills, can I still apply for financial
assistance? |
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No. If
you have any type of judgment against you for your
medical bills you are not eligible to apply for
financial assistance. |
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| 10. |
How
often do I need to apply for financial assistance? |
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A new
updated application is required for each month services
are provided. |
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| 11. |
What is considered the definition of family? |
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Family
members include parents, spouses & children (natural or
adoptive) under the age of 18 living in the home with
the patient. |
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| 12. |
Can
stepchildren be considered when looking at family size? |
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No. As
stated above, unless the children are natural or
adoptive they cannot be counted when determining family
size. |
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| 13. |
If
my child is still living in the home and going to
college but is over the age of 18 can I count him/her as
part of my household? |
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No. |
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