Preparing for Total Joint Replacement | 11 Insurance and billing At the time of your pre-admission clinic appointment, your insurance information will have been obtained including: • A current copy of your insurance card • Accurate and current address • Accurate and current employment information, if it applies to your insurance eligibility Please bring your insurance card with you each time you come to the hospital for treatment. The prior authorization process is started at your surgeon’s office, but it is your responsibility to make sure that you receive pre-authorization before your surgery, or your insurance company may not pay for the services. Your insurance card should tell you if you need prior authorization; however, it is a good idea to review your benefit coverage and eligibility in your insurance booklet. CMH does not enter into disputes over your insurance coverage. Billing and payments CMH will bill your insurance for you. Your insurance may require a co-payment, which is the amount of money you will need to pay in addition to what your health insurance covers. This is usually listed on your insurance card. Your co-payment is due at the time you arrive at the hospital for treatment. We will accept the following forms of payment: cash, check, credit card or debit. An ATM is available for use in the CMH Health & Wellness Pavilion across the street from the East Lobby and in the Emergency Department lobby in the main hospital. Statements are sent out monthly for all accounts with balances due. You will receive a monthly statement even if your insurance has been billed and they have not yet paid. This is to keep you informed of the status of your account. Once your insurance has paid and it has been determined that the balance is your responsibility, you will see an amount due in the “Please pay this amount” section of your statement. If you are not able to pay the full amount due, please contact a payment representative at 503.338.7530 to make payment arrangements. CMH offers a financial assistance program for patients who meet eligibility requirements. Money questions? Call CMH Patient Financial Services at 503.338.7530.
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