Hospital & Clinic Billing FAQs
How is my hospital bill determined?
We determine your hospital bill based on the length of your stay, the type of room, and the hospital services and medications ordered by your physician. You will be billed separately for the services of your physician, consulting physician, or other professionals.
Will you bill my insurance company?
If you have provided health insurance information, we will file an insurance claim for you. Usually a claim is paid within 30 to 60 days after being submitted to the insurance company. In cases where there are two insurance companies to bill, the second insurance will be billed after the first insurance has paid.
What will I need to pay?
Most major insurance companies require patients to pay a deductible. After the deductible is met, your insurance company usually pays a percentage of the costs of service.
The amount of the bill that you must pay will depend on your insurance policy. If you have questions about your benefits, contact your insurance company directly.
Whom do I contact if I have questions about my bill?
Billing Customer Service:
(Local - Portland metro area) 503-215-4300
(Toll-free long-distance) 877-215-7833
Monday-Friday, 8 a.m. to 7 p.m.
How do I contact my insurance company?
You will find a customer service phone number on your insurance card, usually on the back.
How can I find out when and where my last payment was applied?
Contact Billing Customer Service to request an itemization of your accounts.
What is the mailing address for a payment?
Please send your payment to:
Providence Health & Services
PO Box 3299
Portland, OR 97208-3299
What is an Advance Beneficiary Notice (ABN)?
Some services may not be covered by Medicare. If this is the case, you will be asked to sign an Advance Beneficiary Notice (ABN) and you will be financially responsible for the charges for that service. Please refer to the ABN section of the Medicare and You Handbook, published by The Centers for Medicare and Medicaid Services.
I disagree with a Medicare claims decision. How do I request an appeal?
1. Photocopy your Medicare Explanation of Benefits form.
2. Write on the Explanation of Benefits (EOB) form, “Please reconsider for payment. My doctor ordered this service.” If possible, contact your physician and ask for additional information to submit with the EOB. An example of additional information would be a letter from your physician explaining why the test was ordered.
3. Mail your appeal to:
Noridian Administrative Services, LLC
Part A Appeals
P.O. Box 6726
Fargo, ND 58108-6726
What are the Medicare deductible, coinsurance and premium rates for 2012?
Deductible: $1,156.00 per benefit period
Coinsurance: $289.00 a day for days 61-90 in each period
$578.00 a day for days 91-150 for each "Lifetime Reserve" day used
$144.50 a day in a skilled nursing facility for days 21-100 in each benefit period
Premium: $451.00 per month for those who must pay a premium
$248.00 per month for those who have 30-39 quarters of coverage
Deductible: $140.00 per year
Premium: $99.90 per month
Please also refer to the "Medicare Costs" section of the Medicare and You Handbook, published by The Centers for Medicare and Medicaid Services.