Billing & Insurance

Billing & Insurance

Thank you for choosing Community Memorial Hospital (CMH) and our providers to serve your health care needs. We are committed to your treatment being successful. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy:

FULL PAYMENT OF PATIENT OBLIGATIONS IS DUE AT TIME OF SERVICE.

WE ACCEPT: Cash, Checks, and Credit Cards

REGARDING INSURANCE

Your insurance policy is a contract between you and your insurance company. We are not a party to that contract. In the event that we do accept assignment of benefits please be aware that some, and perhaps all, of the services provided to you may be non-covered services under your plan and you will be 100% responsible for these charges. It is your responsibility to:

  • Ensure that our providers are contracted with your insurance carrier.

  • Know your benefit coverage, as well as coverage for your dependents, prior to receiving services.

  • Ensure that all pre-approval requirements are met to avoid denials or out-of-network expenses.

Please remember that we must receive your current billing information at the time of each visit in order to meet claims submission guidelines set by your insurance plan. If CMH fails to receive accurate information to process your claim, you will be held responsible.

IF WE ARE CONTRACTED WITH YOUR INSURANCE CARRIER

Regarding insurance plans where we are a participating provider, all co-pays and deductibles are due at the time of treatment. As a courtesy, we will file an initial claim with your insurance company. However, this does not release you of your financial responsibility. Click here for a list of insurance plans.

IF WE ARE NOT CONTRACTED WITH YOUR INSURANCE CARRIER

Regarding insurance plans where we are not a participating provider, you will be 100% responsible for all charges incurred at the time of service. Please ask about our prompt pay discount.

To summarize, your financial responsibility pertains to:

  • Denied and non-covered services.

  • Services deemed not medically necessary by your insurance company.

  • Co-payments, deductibles, coinsurance.

  • Pending claims due to lack of patient and/or guarantor information.

  • Non-insurance and/or out-of-network benefits.

If you fail to receive an Explanation of Benefits (EOB or EOP) from your plan within 45 days of treatment, we recommend that you contact your insurance plan to determine benefits, as they may not have made payment.

Payment not received within 60 days may be transitioned to patient responsibility and you may be required to make other payment arrangements.

MISSED APPOINTMENTS

Please help us serve you better by keeping scheduled appointments, or cancelling at least 24 hours in advance.

RETURNED CHECKS

If we receive a returned check from the bank that is for Non-Sufficient Funds or Stop Payment, there will be an automatic $20.00 charge to your account.

COLLECTIONS

Account balances more than 120 days past due will be turned over to a collection agency.

QUESTIONS ABOUT YOUR BILL

If you have any questions about your hospital bill, insurance, or a reimbursement amount, please call our Business Office at 419-542-5590.  Representatives are available to assist you with information, payment, and application options weekdays between 8:00 a.m. and 4:30 pm. 

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208 N. Columbus | Hicksville, OH 43526 | (419) 542-6692

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