Billing FAQ

Will my insurance pay for preventive services?

November 4, 2022 in

Will my insurance pay for preventive services?

Contact your insurance company to check on your policy benefits for these types of services. Many insurance plans do cover preventive screening services at 100% with no cost to you. Please note that we are required to code and bill your medical claims compliantly. If you are actively seeking treatment or are on medication for a certain condition (i.e. high cholesterol), we cannot code services related to this condition as a screening service. We must code and bill your claims...

Read More
What do I do if I disagree with how much my insurance company has paid on my bill?

November 4, 2022 in

What do I do if I disagree with how much my insurance company has paid on my bill?

Contact the insurance company and ask how your claim was processed. If the insurance company finds an error was made, write down the information you are given as well as the name of the person you spoke with at the insurance company. Request an anticipated payment date. If the bill does not get paid in the time frame they gave you, follow-up with the insurance company again. If the insurance company feels the bill was paid correctly and you still...

Read More
How will I know if my insurance company has paid my bill?

November 4, 2022 in

How will I know if my insurance company has paid my bill?

Each insurance company mails an Explanation of Benefits (EOB). This will explain what was paid or not paid by them and why. If there is a balance due, to be paid by you, after the insurance company has paid its portion, we will send you a bill that will indicate the amount that has been paid and any balance you need to pay....

Read More
How do I follow-up with my insurance company?

November 4, 2022 in

How do I follow-up with my insurance company?

Call the insurance company by referencing the phone number on the back of your insurance card. Have your insurance card, date of service, facility name, billed amount, patient name and claim number ready. Ask for the status of the account. If it has been paid, ask when and to whom. If it has not been paid, find out when they expect to pay and if they need anything from you. Write down the information you are given as well as...

Read More
How do I know if my insurance company will cover services provided by all professionals (i.e. CRNAs, radiologists, pathologists)?

November 4, 2022 in

How do I know if my insurance company will cover services provided by all professionals (i.e. CRNAs, radiologists, pathologists)?

Each professional or specialist needs to contract individually with insurance companies. Check with your insurance company or employer about coverage prior to receiving services....

Read More
How do I know if my insurance company will cover my visit or certain services?

November 4, 2022 in

How do I know if my insurance company will cover my visit or certain services?

Medically necessary, preventive care and appropriate services may not be covered by your insurance company. There are many different insurance plans. Typically our staff does not know whether a specific service will be covered. Refer to your insurance handbook or call your insurance company with questions prior to your appointment. That phone number can be found on the back of your insurance card....

Read More
Do I need to let my insurance company know that I’m going to be in the hospital?

November 4, 2022 in

Do I need to let my insurance company know that I’m going to be in the hospital?

You should check with your insurance company or employer to determine notification requirements and what is or is not covered by your insurance plan. There are many different insurance plans. Typically our staff does not know whether a specific service will be covered....

Read More
Will you file worker’s compensation, motor vehicle accident or medical liability claims for me?

November 4, 2022 in

Will you file worker’s compensation, motor vehicle accident or medical liability claims for me?

Yes. We will bill any of these claims as long as you provide us with the correct information. Please file a “First Report of Injury” with your employer....

Read More
Why should I bring my insurance card and a picture ID with me to my appointment?

November 4, 2022 in

Why should I bring my insurance card and a picture ID with me to my appointment?

A copy of your insurance card, picture ID and the forms you will sign at registration are needed to file a claim to your insurance company. Without correct and complete information, your insurance company cannot pay for your visit....

Read More
What if I have no insurance or a high out-of-pocket expense?

November 4, 2022 in

What if I have no insurance or a high out-of-pocket expense?

Regardless of your ability to pay, RMC will perform medically necessary services. Financial assistance is available to those eligible. If you are not covered by commercial insurance, Medicare or Medicaid, you may be asked to make a minimum payment at the time of service depending on what services you receive. For remaining balances due, a statement will be sent to you after you are discharged. Your payment or payment arrangements should be made when you receive this statement....

Read More
What does in-network mean?

November 4, 2022 in

What does in-network mean?

To receive full insurance benefits, some insurance companies will require patients to receive services from an “in-network” or “participating provider”. Contact your insurance company and ask them if Regional Medical Center, Delaware County Memorial Hospital, Regional Family Health or Regional Medical Home Care is in their network. If they do not find us in their “in-network” system by any of the above names contact us....

Read More
What if I get more than one bill?

November 4, 2022 in

What if I get more than one bill?

Depending on the services you received, you may receive several different bills. RMC will send you a bill for hospital services. Certain tests or procedures may be billed by a separate professional for interpretation services such as a radiologist, pathologist, your personal healthcare provider or a specialist that you may have seen in our clinic....

Read More
Pediatric Visitor RestrictionsCLICK HERE for details