Patient Financial Services
The Patient Financial Services office at Southwest Memorial Hospital offers a full range of support for patients to include billing your insurance, assisting with injury related claims and providing additional financial counseling services when needed. We understand that billing and collections for health care services can be confusing. Our team of billing and insurance specialists are committed to make the process as simple and as efficient as possible.
Here is a brief overview of our policies and what you can expect as a patient at Southwest Memorial Hospital.
Please provide us with complete information at the time of registration. This includes a driver’s license or photo ID, your insurance cards, and authorization or referral forms. Having complete and accurate information helps prevent billing and insurance delays. Please understand and comply with the requirements of your health plan by knowing your benefits, obtaining proper authorizations, submitting claim or referral forms or responding to coordination of benefits inquiries.
We will submit bills to your insurance company and do everything possible to expedite your claim. Keep in mind 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 bills.
You will not automatically receive an itemized statement for your hospital stay. However, if you would like a copy of a detailed bill, please call Patient Financial Services at 970-564-2130.
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 doctors in diagnosing and interpreting test results while you were a patient at the hospital. Pathologists, radiologists, and anesthesiologists, are among the specialists who provide services and submit separate bills. If you have questions about these bills, contact the number on the statement when you receive them.
If you have insurance coverage, the hospital will bill your insurance carrier after health care services are rendered. Shortly thereafter, you will be sent a summary statement as an acknowledgement that your carrier has been billed. The Colorado Prompt Payment of Claims Statute 10-16-106.5 requires that “claims shall be paid, denied or settled within thirty calendar days after receipt.” If payment is not received within thirty days, please contact your carrier to help expedite payment. You will also be asked for any deductibles, co-pays and/or outstanding balances from prior services for you and your family members at the time your service is rendered.
Medicare patients will not receive a bill until Medicare has paid its share to the hospital. This may take from 15 to 60 days after you leave the hospital. As soon as we hear from Medicare, we will forward a bill to you.
If you have no insurance, a representative from Patient Financial Services will discuss financial arrangements with you. The hospital provides financial counseling for those who are unable to make payment in full.
If you can not afford your medical bills, you may be eligible for financial assistance. We can assist you with an application. Your personal information will be kept confidential. Our financial assistance programs have clear guidelines to determine who qualifies for reduced charge services. The amount of financial assistance is different for each person or family, depending on your financial circumstances. Southwest Health System, Inc. participates in the Colorado Indigent Care Program (more information here in English and Spanish) and Self Pay Discount Program to assist those uninsured or underinsured patients who meet qualifying criteria. For details about Financial Assistance you may call 970-564-2143.
Questions about your bill? We’re here to help.
Commercial insurance: 970-564-2105
Blue Cross: 970-564-2126
Managed Care: 970-564-2105
To make payment arrangements: 970-564-2130
All other questions: 970-564-2130
Patient Financial Services is under the direction of Audrey Sanstead who can be reached at 970-564-2104.