Billing and Insurance

Patient Billing Information

The administration and staff of Highlands Regional want to ensure that the quality medical service you receive at our facility is not overshadowed by billing questions. We are aware of the confusing nature of insurance, therefore, we have developed this summary to explain our billing process. If you have any questions regarding a bill you have received, please contact our customer service department at (866) 481-2553.

Our billing cycles depend upon the type of insurance you carry. The different categories are as follows:

  • Workers' Compensation
  • Medicaid
  • Medicare
  • Commercial/Blue Cross/CHAMPUS
  • Self Pay (No insurance)

Workers' Compensations

No patient statements are generated for this category. The hospital will follow up with the employer and/or the insurance carrier until the account is paid. If the claim is denied, the account will be changed to a self pay account and will be pursued per the guidelines listed under Self Pay.

Medicaid

No patient statements are generated for this category. The hospital will follow up with Medicaid until the account is paid. The patient will be billed for the co-pay amount, if applicable. If the claim is denied, the account will be changed to a self pay account and will be pursued per the guidelines listed under Self Pay.

Medicare

No patient statements are generated for this category. The hospital will follow up with Medicare until the account is paid. After the account is paid, the deductive and/or co-insurance will be billed to the secondary (supplemental) insurance, if applicable. The hospital will follow up with the insurance company per the guidelines listed under Commercial/Blue Cross/CHAMPUS. If there is no supplemental insurance, the hospital will follow the Self Pay guidelines.

Commercial/Blue Cross/CHAMPUS

A claim is filed to the insurance company, usually within three days from discharge. If payment has not been received from the insurance company within 30 days of filing, a statement is mailed asking you to follow up with your carrier. If payment is not received within the next two weeks, a second statement is mailed advising you that we will now be looking to you for payment. At this point, the account is changed to a self pay account and the hospital will follow the Self Pay Guidelines. Highlands Regional files insurance as a courtesy. We will attempt to collect the money from the insurance company, but ultimately, the payment is your responsibiliy. We encourage you to contact your insurance company to assist us in the collection of the account. Many times an insurance company will pay the account more quickly if the patient calls.

Self Pay

A statement is mailed approximately one week from discharge asking for payment. A second statement is mailed two weeks later asking for payment in full or that acceptable payment arrangements be made with the business office. Phone calls are made to the patients in this category asking for payment arrangements.

Price Quotes

If you would like a price quote for a procedure, please call Highlands Regional Medical Center at (863) 385-6101.