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Patient Accounts / Billing

All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital’s billing procedures and charges.

At the time of your registration, you will be asked to present information on your insurance. Our patient counselors will verify the information that you provide and work with you in making financial arrangements.

Insurance deductibles and/or co-pays are due at the time of registration. Private pay arrangements and options for payment must be discussed at registration and deposit paid to the cashier.

If you have any questions about your bill, please contact our Business Office at (800) 270-0702 from 8:00 a.m. to 5:00 p.m., Monday through Friday, or call the phone number listed on your statement.

If You Have Health Insurance

As a courtesy to our patients, we will be happy to bill your insurance carrier for you. However, payment is the ultimate responsibility of the patient.

We will need a copy of your insurance identification card. We also may need the insurance forms, which are supplied by your employer or the insurance company. You will be asked to assign benefits from the insurance company directly to the hospital.

If You Are a Member of an HMO or PPO

Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan and their services may not be covered.

If You Are Covered by Medicare

We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments also are the responsibility of the patient.

If You Are Covered by Medicaid (Medi-Cal)

We will need a copy of your Medicaid (Medi-Cal) card. Medicaid (Medi-Cal) also has payment limitations on a number of services and items. Medicaid (Medi-Cal) does not pay for the cost of a private room unless medically necessary.

If You Have No Insurance

A representative from the Admitting Department will discuss financial arrangements with you.

Your Hospital Bill

You will receive an itemized bill approximately 10 days after discharge (Medicare, HMO, and Medicaid recipients will receive an itemized bill upon request). If you have any questions about your bill, please contact our Business Office at (800) 270-0702 from 8:00 a.m. to 5:00 p.m., Monday through Friday, or call the phone number listed on your statement.

The hospital will submit bills to your insurance company and will do everything possible to expedite your claim. But you should remember that your policy is a contract between you and your insurance company and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.

Physician Bills

Your bill reflects hospital services you receive during your stay. If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services and are required to submit separate bills since none of them are Chapman Medical Center employees. If you have questions about these bills, please call the number printed on the statement you receive from them.