How does the insurance billing process work?

March 18, 2021

How does the insurance billing process work?

If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company’s questions as quickly as possible so their payment is not delayed. It usually takes 30-45 days for your insurance company to pay...
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March 18, 2021

What is expected of patients in terms of payment?

Similar to your visits to your physician’s office, we expect payment at time of service. If you have insurance or other coverage, we will expect you to pay your co-payment, coinsurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still...
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March 18, 2021

Can I expect an exact pricing quote?

Unfortunately, no. We will do our best to provide you with a pricing range based on our hospital’s historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your...
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March 18, 2021

What information should I have when calling for a price estimate?

If you are insured, prior to your call, it is important that you contact your insurance company to ensure that the services required are “covered services”. In the event that they are not a covered service under your plan, please refer back to our Uninsured information. If you have insurance, you will also need: Your...
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March 18, 2021

What if the service I need is not listed here?

Please give us a call at (937)-483-4933. We will be happy to try to provide you with a price estimate.
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March 18, 2021

Why can’t I rely on the pricing estimates posted on this website?

Those figures are estimates of what an Uninsured Patient would have to pay. If you have insurance or some form of medical coverage, your out of pocket typically can include a deductible, coinsurance, co-payment or even non-covered services. The prices for your services are based on the contract terms negotiated by your insurance company with...
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March 18, 2021

What does uninsured mean?

It means that you have to pay for your services and that you do not have coverage for the hospital services by a third party like Medicare, Medicaid, Workers Compensation or an insurance company. Other common terms used when referring to Uninsured patients are: Self Pay and Private Pay.
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March 18, 2021

How often is pricing estimate data refreshed?

We plan to refresh the data used on our website and by our Service Representatives at least annually.
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March 18, 2021

What services are excluded from my hospital bill estimate?

Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. Independent laboratory will also bill you separately for lab work. If ambulatory services were used those would also be separately.
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March 18, 2021

What services are included in my hospital bill?

If you are viewing estimates provided on this website, the pricing includes estimated room and board, supplies, nursing care, equipment use, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital. It does not include services from outside providers such as lab or doctors fees.
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