Bill Sample Hospital - PDF

							Understanding Your Hospital Bill                Understanding Your Hospital Bill                Understanding Your Hospital Bill
Memorial Hospital wants to help you             Memorial Hospital wants to help you             Memorial Hospital wants to help you
understand your hospital bill. Here is a list   understand your hospital bill. Here is a list   understand your hospital bill. Here is a list
of phone numbers you may need.                  of phone numbers you may need.                  of phone numbers you may need.
Questions about your hospital bill:             Questions about your hospital bill:             Questions about your hospital bill:
Please contact the hospital billing office at    Please contact the hospital billing office at    Please contact the hospital billing office at
S




                                                S




                                                                                                S
360/444-5555 for help with:                     360/444-5555 for help with:                     360/444-5555 for help with:
 Applying for free or reduced price care.       Applying for free or reduced price care.       Applying for free or reduced price care.
      A




                                                      A




                                                                                                      A
 Applying for Medicaid, Basic Health            Applying for Medicaid, Basic Health            Applying for Medicaid, Basic Health
   or other public insurance programs.              or other public insurance programs.             or other public insurance programs.
           M




                                                           M




                                                                                                           M
 Questions about your bill.                     Questions about your bill.                     Questions about your bill.
The hospital billing office is located on the    The hospital billing office is located on the    The hospital billing office is located on the
                  P




                                                                  P




                                                                                                                  P
first floor of the hospital, next door to the     first floor of the hospital, next door to the     first floor of the hospital, next door to the
                        LE




                                                                        LE




                                                                                                                        LE
gift shop.                                      gift shop.                                      gift shop.
Questions about bills from other                Questions about bills from other                Questions about bills from other
providers:                                      providers:                                      providers:
Many doctors, ambulance companies, and          Many doctors, ambulance companies, and          Many doctors, ambulance companies, and
labs are separate businesses with their own     labs are separate businesses with their own     labs are separate businesses with their own
billing and account procedures. Here is         billing and account procedures. Here is         billing and account procedures. Here is
a list of the groups that regularly provide     a list of the groups that regularly provide     a list of the groups that regularly provide
care for patients at Memorial Hospital.         care for patients at Memorial Hospital.         care for patients at Memorial Hospital.
If you receive a bill from them and have        If you receive a bill from them and have        If you receive a bill from them and have
questions about it, please contact them.        questions about it, please contact them.        questions about it, please contact them.
Name                        Phone Number        Name                        Phone Number        Name                        Phone Number
S




                                                S




                                                                                                S
First Care Emergency                            First Care Emergency                            First Care Emergency
Physicians                  360/333-0000        Physicians                  360/333-0000        Physicians                  360/333-0000
    A




                                                    A




                                                                                                    A
Spectrum Radiology                              Spectrum Radiology                              Spectrum Radiology
(X-rays)                    360/555-9999        (X-rays)                    360/555-9999        (X-rays)                    360/555-9999
         M




                                                         M




                                                                                                         M
Central Anesthesia                              Central Anesthesia                              Central Anesthesia
Associates                  360/888-4444        Associates                  360/888-4444        Associates                  360/888-4444
                P




                                                                P




                                                                                                                P
Northeast Pathology (lab)   360/555-3233        Northeast Pathology (lab)   360/555-3233        Northeast Pathology (lab)   360/555-3233
Northwest Ambulance         360/677-9999        Northwest Ambulance         360/677-9999        Northwest Ambulance         360/677-9999
                      LE




                                                                      LE




                                                                                                                      LE
Questions about your health insurance:          Questions about your health insurance:          Questions about your health insurance:
Please contact your insurance company.          Please contact your insurance company.          Please contact your insurance company.
                 Memorial                                        Memorial                                        Memorial
                 Hospital                                        Hospital                                        Hospital