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Understanding Your Bill
Peach Regional Medical Center is pleased to provide this information to help you understand our patient billing process. PRMC is committed to fulfilling our mission of providing the highest quality care. To ensure the success of this commitment we must be financially responsible. We take a positive and proactive approach to patient billing and collections with the goal of receiving payment for services rendered in the most efficient, timely and customer-friendly manner possible. Your Financial Responsibilities Peach Regional Medical Center accepts responsibility for providing you with the best value in medical services. Therefore, we ask that you accept responsibility for paying for those services in a timely manner. You will be required to sign Consent for Treatment and Responsibility for Payment forms regardless of any insurance coverage you have. We do understand that billing and collection for health care services can be confusing. Please call our Business Office at 478-825-8691 with your questions. The Registration Process Providing us with accurate and complete information during the registration process is vital in ensuring that your hospital bill will be processed correctly and timely. Physician’s Order Form If your physician is referring you to the hospital to receive services, it is essential that you bring the physician’s order with you to registration. Services may be delayed without a physician’s order. Health Insurance Card Please have a current copy of your health insurance and picture identification card available for photocopying. We ask for this card at each visit to ensure we have your most current information when we bill your insurance company. Precertification Requirements It is essential for you to know if your insurance requires pre-certification in order for payment to be made for your services. If pre-certification is required, please inform your physician's staff immediately upon arrival so there will be no delays in processing your registration and/or admission to the hospital. Please help us to 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. Please remember, the ultimate financial responsibility for payment lies with you, the patient, not the insurance company. The Billing ProcessIf You Have InsuranceWe will bill your insurance company shortly after health care services have been rendered. This billing is based on the information you provided us during your registration process. Once your insurance company has processed this bill, they will send you a summary statement or Explanation of Benefits (EOB) statement. This statement will show the insurance company’s payment to the hospital and the portion that is your responsibility. This statement is NOT a bill. Shortly after you receive the insurance company statement, you will receive a bill from the hospital for the amount owed by you. This amount is due within 30 days of the statement date. If you are unable to make payment in full, contact our Business Office at 478/825-8691, extension 213, to make payment arrangements. If You DO NOT Have Health Insurance We will bill you shortly after health care services have been rendered. This billing is based on information you provided us during your registration process. We will send you an itemized bill showing the individual charges for the health care services you received. This bill is due within 30 days of the bill date. If you are unable to make payment in full, contact our Business Office at 478/825-8691, extension 213, to make payment arrangements. Interest free extended payment options are available. Peach Regional Medical Center also accepts Visa, Master Card, American Express, Discover, etc. Discounts If you do not have insurance and make payment in full to the hospital within 30 days of the itemized bill date, then you are eligible to deduct 10 percent from the total amount due. Charity Care ProgramPatients with balances due resulting from limited or no insurance coverage may qualify for our Charity Care Program. This program is designed to assist patients who are financially indigent.A financially indigent patient is a person who is uninsured or underinsured and is accepted for care with no obligation or a discounted obligation to pay for services based on income and family size. The hospital uses poverty 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. PRMC may consider other financial assets and liabilities of the patient and family when determining the ability to pay. The patient is responsible for providing information requested during the qualification process and will continue to receive bills until eligibility has been determined. Please ask a financial counselor for more information about this program. Other Bills You May ReceiveMany physicians are independent contractors and are not employed by the hospital. Professional fees charged by these physicians for services provided to you will be billed by the physician separately from the fees charged by the hospital. Physicians that may bill you separately include:
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