We are dedicated to providing the finest health care services for you, our patient. In order to do this, we must collect our accounts as promptly as possible. This document will explain how the Business Office will handle the claim to your insurance company or government program and what your responsibility will be regarding your account after your insurance has paid or if you do not have insurance coverage. General information regarding specific insurance types may be requested from our patient accounts Counselors, Business Office Manager or Credit Manager. If you need specific information about your policy, please contact your insurance company.
The bill that you receive from Clarion Hospital may include charges for diagnostic testing (lab, x-ray, etc.), room charges, medical supply items, pharmacy items and charges for equipment usage. Although our physicians use our facility to perform their services, your bill from the hospital will not include any physician’s charges for services rendered. You may receive separate bills from the pathologist, radiologist, surgeon, anesthesiologist and/or ER physician depending on the services that you receive.
Our staff will file a claim with your insurance company at the earliest possible date following your discharge/treatment. We will begin follow-up contact 30 days following the submission of the claim. You will be expected to contact your insurance company if pre-certification or pre-authorization is required. You will also be expected to make full payment of your self-pay portion (co-insurance and deductible) at the time of discharge/ treatment. If your insurance company denies payment or fails to pay in a timely manner, you will also be expected to pay the balance in full. If you do not have insurance, you will be expected to make financial arrangements through the Business Office, the Credit Manager or the Registration Department prior to registration unless treatment is emergent. A deposit may also be required prior to or at the time of in patient admission or scheduling of out patient procedures.
Payment of co-payments is expected when service is rendered, by cash, check, MasterCard, Visa or Discover Card. Payment in full of any unpaid balance is expected upon receipt of your first statement.
If you are able to pay your balance in full, a discount may be available to you by contacting your Patient Account Representative, the Credit Manager or Business Office Manager at the telephone numbers listed below. Extended payment arrangements may be considered on an individual basis by completing an Application for Extended Payments Form. Payments may be approved for a limited time for patients who demonstrate an inability to pay their obligation in full or cannot obtain outside financing and who’s financial information has been verified (credit bureau report). We can also assist you in applying for Medicaid (Medical Assistance).
Clarion Hospital gives a reasonable amount of its services without charge to eligible persons who cannot afford to pay for care. Uncompensated services are limited to persons whose family income can be verified and is not more than two times the current poverty income guidelines, established by the Department of Health and Human Services.
If you think that you may be eligible for uncompensated services, you may request additional details and an application at the Clarion Hospital Business Office or Patient Access Department. Upon receipt of all program requirements, the hospital will provide written conditional or final determination of your eligibility for uncompensated services within 2 working days following a per service request.
We have Financial Counselors and a Credit Manager who are trained to assist patients and families in resolving their accounts through a variety of means. The Patient Access Department can assist you in contacting the appropriate person or you may contact us at one of the numbers listed below.
Patient Account Representatives:
Patient Accounts Manager: