Who is responsible for paying my bill?
The hospital will bill your insurance company directly (unless you specify otherwise), you are ultimately responsible for making certain that your bill is paid. If a balance remains after your insurance has issued a payment or a denial, payment is due immediately upon receipt of your statement.
My insurance should have paid my bill, what should I do?
Verify that your insurance company has received and processed the claim.
Review your insurance policy to determine if the service is covered. If you are unable to determine this, call your insurance company to determine if the procedure is covered. Your insurance company will have the most accurate and up to date information about your policy and your claim.
If your insurance company has questions for Conemaugh Health System, please have them call the Customer Service Department at 1-888-480-3539.
Call the Customer Service Department at 1-888-480-3539 to verify we have the most up to date insurance information on file for you.
We can bill your insurance company only if you provide us with accurate and up to date medical insurance information.
I have insurance. Why did I get a bill?
As a courtesy to you, the patient, Conemaugh Health System bills your insurance company directly for services rendered. The charges become your responsibility if your insurance company does not pay them, so it is important to provide accurate insurance policy information at the time of your appointment.
Did my insurance pay for services?
Any payment from your insurance carrier will be reflected on your statement. In addition, most insurance carriers send an explanation of benefits (EOB) to their subscribers explaining how their claim was processed.
Why didn’t my insurance carrier pay for the services?
To obtain a clear understanding of your benefits and any limitations of your insurance coverage, it is best to contact your insurance carrier directly for an explanation of the way your claim was processed and/or denied.
Why am I getting a bill now, when services were provided so long ago?
Once a response is received from your insurance carrier and we have confirmed that there is additional patient liability, we will bill the patient. However, this process is dependent on when we receive a response from the insurance carrier. In addition, insurance carriers often request additional information that could delay the processing of your claim.
My insurance has changed, what should I do?
In order for your claims to be paid promptly, Conemaugh Health System (CHS) needs your most up to date insurance information. Having this ensures that we bill the correct insurance company. Always bring your current insurance card to appointments and make sure that CHS has your most up to date insurance information.
If your insurance has changed, please advise the registration specialist when you check-in for services. You may also call the Customer Service Department at 1-888-480-3539 to update your insurance information. Providing CHS with your most up to date insurance information will expedite the processing and payment of your claims.
Payments received after the Statement Date will appear on your next statement.
How do I change the mailing address on my statement?
Fill out the change of address section of the statement when sending in your payment. The change of address section is on the back of Page 1 of your statement.
Why does Medicare Secondary Payer (MSP) questionnaire need to be completed?
As a participating Medicare provider, we are required to screen Medicare patients according to the MSP rules. At each visit, you will be asked the MSP questions. These questions help us to confirm if Medicare or another payer should process the insurance claim as primary.
What other bill will I receive?
In addition to your bill from the hospital, you may receive bills from other physicians who may have provided services to you. For instance, you may receive bills from consulting physicians, emergency room physicians, radiologists, or other specialists. Please contact their office directly if you have questions concerning their bill