|
|
|
   |
 |
 Home
 Information
Departments
Resources
Jobs
Directories
Site Map
|
|
|
Patient Accounting
Janet Stuart, Director
Phone: (970) 564-2104
Fax: (970) 564-2426
e-mail: ptacctmgr@swhealth.org
Business Office Offerings
The Business Office at Southwest Memorial Hospital offers a full range of services to its customers. For those without insurance coverage, the hospital offers the services of an eligibility consultant to investigate possibilities for state or federal assistance in paying for your hospital services.
SWMH offers the Colorado Indigent Program and Hill-Burton funds to qualifying individuals. Applications are available in the Business Office as well as staff who will assist during the qualifying process.
Southwest Memorial Hospital has contracts with several Managed Care payers. The following is a list of those companies. Check with your employer to make sure SWMH is a provider for your plan.
CBSA
Colorado Child Health Plan
Educators Mutual
GEHA/PPO USA
LifeCourse
NBAPEHP (Utah residents only)
Rocky Mountain HMO
Sloans Lake Managed Care
Summit Administrators
The AlliancePlease contact the Business Office at Southwest Memorial Hospital at 970/565-6666 if you have questions about any of the services listed above.
Billing Assistance
If you have insurance to cover your service, the Registrar will need to make a copy of your card. This will help us as well as the physicians involved in your care bill your insurance correctly and timely. It is important that all insurance information be provided at the time of registration.
Most insurance plans require that your service be pre-certified or ‘pre-approved’. The information you need is on the back of your insurance card and usually involves only a call from you to notify them that your physician has ordered the medical service. Failure to do this may result in a significant increase in your out-of-pocket expense.
If you are without insurance coverage, the hospital is happy to work with you on a mutually acceptable payment plan.
In addition to a bill from Southwest Memorial Hospital, you may receive a separate statement from independent physicians for his or her professional services. These may include statements from anesthesiologists, consulting physicians, radiologists or others who have been consulted about your medical problem.
Hospital bills can sometimes be confusing and very difficult to understand. If you or someone you know has a billing concern, please contact the billing department. The Business Office is open 8:00 am – 4:30 pm Monday through Friday. Please contact us at 970-565-6666. A representative will take time to work with you to resolve your concerns. There may be times when you will get voice mail. Please leave a message and a representative will return your call promptly.
Frequently Asked Questions
What can I do to make sure my services are covered by my insurance?
More and more insurance plans, and all Managed Care plans, require and authorization prior to having the services received. We do our best to call for you on outpatient visits but it is hard to catch everyone. You should call your insurance in case we have not been able to. For emergency room visits, it is against the law to prevent you from having the necessary screening tests and stabilizing treatment prior to notifying your insurance carrier. You will, however, need to notify the insurance within 24 hours of your treatment or payment may be denied.
For all Inpatient or scheduled elective surgeries, we will contact your insurance company and obtain all required authorizations. If authorization is denied for any reason, we will notify your doctor.
What will this visit cost?For most outpatient tests such as lab and x-rays, we can tell you the charge. For surgeries or Inpatient stays, we can give you an estimate based on the current average cost for your particular diagnosis or procedure.
I need care but I don’t have insurance. Can I still be treated?
We do not turn anyone away who needs treatment. We may be able to assist you with financial aid. We have programs called Hill-Burton and CICP, which are based solely on income. We also have a Medicaid eligibility staff person available to help walk you through the process of applying for Medicaid. We do prefer payment of the balance in full at the time of service; payment plans are available to those who need to make payments.
I need to talk to someone who knows all about Medicare. Do you have specialized staff that handles Medicare?
Yes. The Billing Office has a staff of very knowledgeable, experienced employees who are familiar with many aspects of various insurance companies. However, each individual is solely responsible for her own particular financial classes. We currently have 2 Medicare billers.
Legal Notices | Contact List | Webmaster©2007 Southwest Memorial Hospital
All Rights Reserved
1311 N. Mildred Rd. • Cortez, Co, 81321
Main Hospital: 970-565-6666 • Emergency Room: 970-564-2025
