Patient Financial Services
Paying for Your Medical Services in San Antonio
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If your medical coverage requires you to pay deductibles and/or co-payments,
you will be asked to pay these prior to discharge from Nix Health. The
hospital accepts American Express, Visa, Master Card, Discover Card, checks,
and cash. Our Patient Financial Services office will be happy to answer
any questions you may have or to make financial arrangements according
to your individual needs. The hospital will provide you periodic status
reports on your account after your discharge. Services provided by physicians
involved with your care at the hospital, such as anesthesiologists, pathologists,
radiologists, consultants, or other medical professionals, will be billed
separately and will not be part of the hospital bill. If you have any
questions about your bill, please contact the Patient Financial Services
office at (210) 579-3337 Monday through Friday from 8 a.m. to 5 p.m.
What Your Hospital Bill Covers
Your hospital bill charges you for the costs associated with your hospital
stay. This includes your room and meals, lab work, tests, therapy, 24-hour
nursing care, medication, and the services of hospital employees. A separate
bill covers professional services administered by your physician(s). If
you have questions about these separate bills, please call the number
printed on each statement.
Nix Health will submit your bills to your insurance as a courtesy to you.
We will do everything in our power to see that your claim is processed
in a timely manner; however, please remember that it is your responsibility
to ensure your hospital bill is paid. Nix Health does not have a contract
or relationship with your insurance carrier.
Coordination of Benefits (COB)
Coordination of Benefits, or COB, refers to coverage under two or more
insurance policies or other potential third-party payers. This is often
the case when spouses are listed on each other’s policies, when
both parents include their children on their individual policies, or when
a person is eligible under two federal programs. If you are injured in
an automobile accident, COB may occur if you have both medical and car
Insurance companies generally have clear COB guidelines to determine the
primary payer at the time you incur the expenses to avoid duplicate payments.
When you are admitted, COB priority must be established in order to comply
with insurance provisions. If your insurance company requests a COB form
prior to paying a claim, we will make every attempt to notify. Some insurance
companies require that their members complete the annual notice via the
internet, while others want the form filled out and sent by mail. Please
verify the preferred method with your insurance provider. Nix Health is
unable to provide this information, so you must get in touch with your
insurance carrier. This issue must be resolved directly with your insurance
company in order for the claim to be paid; otherwise, the insurance company
may not pay the hospital and you may become primarily liable for your
Nix Health is an approved Medicare provider and follows federal guidelines
and procedures for billing services. Federal law requires that, due to
a COB clause in Medicare coverage, you must complete an MSP Questionnaire
in order to determine the primary insurance paying for your visit. Please
provide accurate information so that we may bill the correct insurance
company. Your secondary insurance should cover Medicare deductibles and
co-insurance. If you do not have secondary insurance, you must pay these
amounts before your service, or establish a payment plan.
Please provide a copy of your Medicaid card for the current month. Medicaid
has payment limitations on a number of services and items; for example,
a private room is not covered unless deemed medically necessary. You will
be required to sign a Medicaid Acknowledgment Statement summarizing if
has Medicaid denied your claim as not medically necessary and you can
be held financially responsible for services rendered.
Nix Health will forward your claim to your commercial insurance provider
using the information you provided upon admission. We do this as a service
to our patients, so it is very important that you provide complete and
accurate information, including policy number, group number, and current
mailing address for your insurance carrier.
For our self-pay patients, Patient Financial Services will send billing
statements, and call to arrange payment(s). If we do not receive a payment
or arrangements for payment within the 90-day period, your account will
be placed with a collection agency. For an itemized statement, or if you
have any questions about your billing statement, please contact the Patient
Financial Services office at (210) 579-3337 Monday through Friday from
8 a.m. to 5 p.m.