FINANCIAL HELP

nursinghallway

Business Office Hours

Financial Department Office hours are 8:30 a.m. to 5:00 p.m., Monday through Friday. Financial questions and concerns can be directed to a Patient Account Representative at these times.

Daily Charges
Commercial Insurance
Medicare
Medicaid
Private Pay
All Other Coverage
Financial Assistance
Financial Arrangements
Itemized Billing
Prompt Payment
Seperate Charges
Advance Beneficiary Notices

Daily Charges

All charges begin with the time you enter the hospital. A room charge will be charged on the day of admission, but not the day of discharge. A new day begins at midnight.

Commercial Insurance

As a courtesy to our patients, CMC will file most commercial insurance claims. To facilitate this service you the patient must provide the Business Office with your current insurance card(s). All services will be classified as private pay until your insurance card is received. Failure to notify the Business Office of any change in your insurance coverage will cause delay in payment by your insurance carrier and could cause the claim to be denied. At that time the account is due from the customer. Please be aware that you will be liable for any remaining balance of any account for which claims are denied. In addition any applied deductible and any co-insurance are the patient’s responsibility. When your insurance has paid the amount allowed for your treatment, your account will become due and payable within thirty (30) days. You will receive an “Explanation of Benefits Paid” from your carrier and are responsible for following up with the Patient Accounts Department in the Business Office for unpaid balances. Please call (402) 245-6680 for questions about commercial insurance.

Medicare

Your Medicare Handbook will outline the services covered and the amount of your responsibility. There are services that Medicare does not cover. You are responsible for payment of those services not covered. Your handbook will outline non-covered services and will have a customer service number for any benefit questions you may have. You may also have a secondary policy that will cover some of the Medicare co-pays and insurance deductible balances. However, there may still be a balance for which the patient is responsible. You will be billed for noncovered charges, deductible and coinsurance if applicable. Please call (402) 245-6544 for Medicare questions.

Medicaid

All patients covered by Medicaid are required to present their benefits card at every service. Your account will be considered as private pay until you present your Medicaid card. Any patient that does not notify the hospital of Medicaid benefits within the Medicaid time guidelines for submitting claims will be responsible for the charges incurred. Not all services are covered by Medicaid. You may contact your benefits office or case worker with any questions regarding covered services. You will be responsible for any excess income obligation and/or co-payments. Please notify admissions if you have a Primary Care Physician with your Medicaid coverage. Please call (402) 245-6544 for Medicaid questions.

Private Pay

Accounts not covered by insurance are due and payable upon discharge. In certain instances short term payment arrangements may be made with the Patient Account Representative. Please stop by the admissions office prior to discharge. Please call (402) 245-6542 for private pay questions.

All Other Coverage

Liability and/or Workers Compensation accounts will be submitted for the patient, but in the event there is litigation to settle the case, the balance is due and payable by the patient after ninety (90) days from filing.

Financial Assistance

A patient analyst will assist you with insurance questions and will consolidate all financial information necessary for filing your health claims. Financial counselors are also available to discuss payment arrangements at the admissions office or at (402) 245-6542. Read more about our HOPE (Helpful Options for Patient Expenses) Program here.

Financial Arrangements

Billing of hospital charges are not final at time of dismissal. We may need to add charges for medications or other services you receive the day of discharge. If there is no insurance coverage, or if there is a charge that will not be covered by your insurance, this must be paid at the time of dismissal or within 30 days. Financial arrangements must be made with the Patient Accounts Representative before dismissal. Upon dismissal you may also check with the Business Office for any options available to you to assist you with your bill.

Itemized Billing

Itemized bills are not routinely provided for patients. If you would like a copy of your itemized bill, please contact the Business Office at (402) 245-6540.

Prompt Payment

You will receive a monthly statement for services not payable by your insurance carrier. Community Medical Center is a not for profit hospital, and we depend on timely payment for services. This helps us continue to provide quality medical care at the lowest possible cost.

Seperate Charges

Your doctor’s fees are not included in the hospital bill. If you use the services of an emergency physician, surgeon or radiologist, you will receive a seperate bill. Seperate bills are also mailed for pathology laboratory fees.

Advance Beneficiary Notices

When items are not covered by your insurance, you may be asked to sign an Advance Beneficiary Notice (ABN) form, making you responsible for payment of the non-covered services.