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Patient Billing Home Get Personalized Help Frequently Asked Questions Glossary

Medicare

We accept all forms of Medicare and will bill Medicare directly on your behalf. Medicare requires us to ask you about your status, including other insurance you may have, each time you visit us. We may also ask you to sign a form acknowledging your responsibility for charges Medicare will not cover.

If you have secondary or supplemental insurance, we will also file a claim with this company on your behalf.

Medicare Summary Notice
Medicare will send you a Medicare Summary Notice (MSN) every three months listing the services and supplies billed on your behalf, what Medicare paid, and what you may owe us. This is not a bill. You will receive a bill from us if you have a remaining balance after Medicare's payments have been applied. Click here to see an example.

Medicare Advantage Plans (Medicare Part C)
Medicare Advantage Plans work a lot like private insurance. In fact, they're offered by private companies but approved by Medicare. These plans cover hospital insurance (Medicare Part A) and medical insurance (Medicare Part B). However, they may provide more coverage than Parts A and B. If you have a Medicare Advantage Plan, we will bill your plan on your behalf instead of original Medicare. To learn more about the differences between Medicare Parts A and B, and Medicare Advantage Plans, click here.

Written off charges
Medicare sets rates for medical services and procedures that all hospitals must follow. This rate may also be called the "Medicare approved" amount. If the Medicare approved amount is less than the amount we charge for a service or procedure, the difference is written off meaning you aren't expected to pay it.

If you have a copay or coinsurance that applies to a service or procedure, Medicare or your Medicare Advantage Plan provider will reduce its payment by that amount. Here's an example:

X-ray Scan Imaging  
Our charge $323
The amount Medicare has set for this service $245
Medicare pays 80% of approved amount -$196
You pay remaining 20% of approved amount -$49
We write off the difference between our charge and Medicare's approved amount -$78
Zero balance $0

 

Disputing denied claims
If Medicare denies the claim we file on your behalf, you will be sent a bill for the full amount due. For instructions on disputing a denied claim, click here.

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