Answers to common questions, including how to pay your bill.
- What is the difference between a statement from OHSU and a statement from OHSU Faculty Practice?
- How will I know how much I owe?
- How will my insurance company get billed?
- I do not have insurance. How will you bill me?
- How often will I receive a statement?
- Why are you asking for my deductible, co-insurance or co-payment at the time of my visit?
- Why did my insurance deny the claim?
- How do I make a payment?
- Does OHSU offer a discount if I pay cash for services?
- What should I do if I can’t pay my bill?
- What are my financial responsibilities as a patient?
- How do I contact the billing office for questions and/or an itemized copy of my bill?
Q. What is the difference between a statement from OHSU and a statement from OHSU Faculty Practice?
A. OHSU handles all billing related to hospital and/or facility charges. OHSU Faculty Practice handles all billing related to doctor and/or professional charges. Visit Understanding Your Bills for examples of both types of bills.
For example, if you have outpatient surgery, you will receive a billing statement from OHSU for the facility charges and separate billing statements from OHSU Faculty Practice for the doctors performing your surgery and the anesthesiologist.
Q. How will I know how much I owe?
A. Your insurance provider will send you an Explanation of Benefits (EOB) notice that details the amount it has paid, any non-covered or denied amounts and the remaining balance that you are responsible for paying to OHSU. Review your EOB carefully, compare it to your OHSU billing statement and call your insurance provider or an OHSU Customer Service Representative right away if you have questions or concerns.
A. As a courtesy, we bill both your primary and secondary health insurance carriers. To insure proper and prompt processing of your claim, please be sure to verify the insurance information we have at the time of registration.
Q. I do not have insurance. How will you bill me?
A. If you do not have health insurance, Medicare or Medicaid, we will send you a bill for any balance not paid at the time services are received. Please pay the bill, or call us to make payment arrangements, as soon as you receive it. You may make your payments by check, Visa, MasterCard, American Express or Discover Card.
Q. How often will I receive a statement?
A. Statements are issued monthly after we receive payment from your insurance company. You will receive a Summary statement within a week after your services are rendered.
Q. Why are you asking for my deductible, co-insurance or co-payment at the time of my visit?
A. We ask that payments be made at the time of your visit so you won’t be inconvenienced with a Balance Due statement sent to your home after your visit. It also helps us reduce costs and saves you the trouble of mailing a payment back to OHSU.
Q. Why did my insurance deny the claim?
A. Insurance companies should notify you directly when a claim is denied. If you have not received an Explanation of Benefits, you should contact your insurance carrier directly.
The most common insurance denials received on claims are:
- You were not covered by your insurance plan on the date of service
- Service received was from a doctor/facility outside your plan’s network
- No authorization/referral is on file for services
- The service you received was not covered under your plan
- Your insurance carrier needs additional information from you
- The insurance information recorded at the time of service was inaccurate, incomplete or outdated.
A. Please pay the balance due using one of the various payment options.
Q. Does OHSU offer a discount if I pay cash for services?
A. Yes, OHSU extends a cash discount to patients without insurance who choose to pay with cash, or to patients receiving services not covered by insurance who choose to pay with cash.
Q. What should I do if I can’t pay my bill?
A. Please contact one of our Customer Service Representatives at 503 494-8760 or 800 500-5582 toll free, Monday through Friday, 9 a.m. to noon and 1 p.m. to 4:30 p.m. We can discuss options for payment plans or financial assistance with you.
More information about financial assistance is available online.
To find out what your insurance plan covers and what your financial obligation may be, call the Customer Services or Member Services Department of your insurance company (the phone numbers are on your insurance card).
Make sure that your insurance company lists both your doctor and hospital as a participating provider. If you go to an out-of-network provider, you may have a greater financial responsibility for services provided that is not under contract with your health care plan. Your insurance company can assist you in finding an in-network provider to limit the amount of money you will have to pay for care.
Q. How do I contact the billing office for questions and/or an itemized copy of my bill?
A. Find the Customer Service department you should contact.