OHSU

FAQ

What are my financial responsibilities as a patient?

As a patient, you should know and understand your insurance plan benefits and your responsibility for any deductibles co-insurance or co-payment amounts prior to any visit.  Not all services are covered in all insurance contracts.  If your insurance plan does not cover a service or procedure, you may be expected to pay full amount of the bill.

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 physician 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.

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How will my insurance company get billed?

As a courtesy, we bill the claim to 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 your registration.

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I do not have insurance.  How will you bill me?

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.

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What is the difference between a statement from OHSU and a statement from OHSU Medical Group?

OHSU handles all billing related to hospital and/or facility charges.  OHSU Medical Group handles all billing related to physician and/or professional charges.

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 Medical Group for the physicians performing your surgery and the anesthesiologist.

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How often will I receive a statement?

A.  First you will receive a summary statement within a week after your services are rendered.

B. Then, you will receive a letter asking you to contact your insurance company if payment is not received within 30 days of your date of service.

C. After we receive payment from your insurance company, you will be sent a balance due statement indicating "This is a Bill".

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Why are you asking for my deductible, co-insurance or co-payment at the time of my visit?

We ask that payments be made at the time of your visit so you won't be bothered with a balance due statement sent to your home after your visit.  It also helps us reduce our costs and saves you the trouble of mailing a payment back to OHSU.

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Why did my insurance deny the claim?

Insurance companies should always notify their subscribers 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 physician/facility outside your plan's network
  • No authorization/referral on file for services
  • The service you received was not covered under your plan
  • Your insurance carrier needs additional information from the patient
  • The insurance information recorded at the time of service was inaccurate, incomplete or outdated

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How will I know how much I owe?

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.

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How do I make a payment?

Please pay the balance due by detaching the bottom portion of your billing statement and include your check, money order, or credit card information in the envelope provided with your billing statement.  You can also pay online.

We are also happy to assist you with your credit card payment over the telephone.  You can reach a customer service representative at 503-494-8760 or toll free at 1-800-500-5582.  Monday through Friday 8am to 4:30pm (walk-ins) and our phone hours are 9am to 4:30pm.

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For OHSU employees utilizing payroll deduction, will the payment be taken from my payroll check be before or after taxes?

The payment will be taken after taxes.  This payment is not a pre-tax deduction.

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What should I do if I can't pay my bill?

Please contact one of our customer service representatives at 503-494-8760 or call toll free at 1-800-500-5582.  Monday through Friday 8am to 4:30pm (walk-ins) and our phone hours are 9am to 4:30pm and we can discuss options for payment plans or financial assistance, depending on your circumstances.

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Does OHSU offer a discount if I pay cash for services?

Yes, OHSU extends a cash discount percentage 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.

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How do I contact the billing office for questions and/or an itemized copy of my hospital bill?

A customer service representative can be reached at 503-494-8760 or toll free at 1-800-500-5582.  Monday through Friday 8am to 4:30pm (walk-ins) and our phone hours are 9am to 4:30pm.

Visitors paying their bills or seeking clarification on their bills by visiting the Patient Business Services Office can park in the Auditorium Park Garage (entrance on 4th Avenue) and have their parking ticket validated.

Physical Address:
OHSU Hospital and Clinics
Patient Business Services
1400 SW 5th Avenue, Suite 400
Portland, OR 97201

Mailing Address:
OHSU Hospital and Clinics
Patient Business Services
P.O. Box 575
Portland, OR 97207-06575

askus@ohsu.edu

 

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