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Patients & Visitors
Sometimes billing and insurance information can be confusing. We've compiled a helpful list of answers to frequently asked questions. Should you have questions about your bill that can't be answered here, please contact our billing department at 716-375-7331, Monday-Friday 7:00 a.m. - 4:30 p.m.
What do these terms mean?
ABN- (Advanced Beneficiary Notice) a waiver by patient when there is reason to believe that the service will not be paid by Medicare.
APC- (Ambulatory Payment Classification) an outpatient reimbursement methodology that groups procedures into like categories and assigns a payment rate to each category.
Co-pay- Amount to be paid by patient (or secondary insurance, if applicable) estimated by the insurance company. It varies based on type of service.
Cross-Over- For certain secondary insurances, Medicare will send the claim directly to the other insurance and the hospital will not need to send anything.
DRG- (Diagnostic Related Groupers) inpatient reimbursement methodology that groups inpatient conditions into like categories and assign a rate to each category.
EOB- (Explanation of Benefits) notification from your insurance company what was paid to the doctor or hospital.
Medicare HMO- Patients have the option to have another insurance company pay for their medical bills in place of Medicare. Examples: Independent Health Encompass 65; Univera Senior Choice.
MSP- (Medicare Secondary Payor) doctors and hospitals are required to ask patient specific questions to determine if the patient may be covered by a health plan other than Medicare. Medicare is not always the primary payor.
Pre-authorization- For certain tests, insurance companies require doctors to obtain permission from them before the test can be ordered.
Why do I receive more than one bill for my visit to the hospital?
The services you receive are performed by healthcare professionals and supporting staff. Some of these may involve private physicians or other professionals who are contracted by the Olean General Hospital to provide services.
We currently have contracts with private physicians for radiology, anesthesiology and emergency medicine. You or your insurance company will receive a separate bill from these physicians and the hospital. While the hospital generally participates with all health insurance plans in this area, this may not be the case with all private physicians. You may want to check with your insurance company (not Medicare) regarding their coverage for these physician services.
Why did I receive a bill from the hospital when I was never there?
Olean General Hospital is a reference laboratory for doctors offices and other laboratories in the area. That means that your specimens may need to come to the hospital to be analyzed.
Why do I have to show my insurance cards every time I come to the hospital?
To better serve our patients, we like to make sure that we have accurate and up-to-date information on file. Sources other than the patient (i.e. your doctor's office) may provide inaccurate data that may cause delays in payment and cause frustration for you and for us.
Do I have Medicare or a Medicare HMO?
|If your card looks like this, you have Medicare|
|If your card looks like this, you have a Medicare HMO
(You do NOT have Medicare)
Where can we go for help?
We have a well-trained staff to file your claims and to answer any questions you may have about your hospital bills. Keep these numbers handy in case you need to contact us:
- Medicare Inpatient questions: (716) 375-7525
- Medicare Outpatient questions: (716) 375-7543
Pay your bill conveniently and securely.
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