Coffee Regional Medical Center understands that your main concern is feeling better after a hospital stay. We’re here to help you navigate the billing process so you can focus on healing. Our policy is to request payment at the time you receive services. If needed, we also offer help to meet your financial obligations.
Billing for hospital services
Shortly after your discharge, CRMC will submit a claim to your private insurance, Medicare or Medicaid. After the insurer(s) pays their portion of the bill, or if the insurer denies payment, you will receive a bill for any unpaid balance.
Understanding Additional Medical Services
In addition to the bill for your hospital services, you may receive one or more bills from specialized physicians who provided care while you were a patient at CRMC. You know your own physician, of course, but you may have also received care or consultation from other specialists such as anesthesiologists, hospitalists, emergency room physicians, radiologists and pathologists (for laboratory tests).
Where to Pay Your CRMC Bill
You can pay your portion of the bill in person, by phone, by mail or online via MasterCard, Visa, Discover or American Express.
Pay in person:
CRMC Patient Financial Services Office
196 Westside Drive
8 a.m. to 4:30 p.m. Monday through Thursday
8 a.m. to 12 p.m. Friday
For a CRH Physicians Practices Bill – please access your patient portal CLICK HERE FOR CRHPP PATIENT PORTAL
If you have questions regarding your CRH Physicians Practice bill please call 912.384.1477
CRMC Benefit Specialist 912.383.5646
CRMC Anesthesia Billing 800.232.5703
Hospitalist / Practice Plus of Southwest Georgia 229.312.5800
Emergency Physicians of Coffee County 800.225.0953 or en Español 800.856.5838
Radiological Associates of South Georgia 912.384.6803
Southeastern Pathology Associates 866.801.7177
Orthopedic Surgeons of Georgia billing questions 912.384.1477
South GA Radiologist Associates 888-760-2455 (Bill for PET Scan Reads)
EMBCC Patient Services (ER Physician Billing, formerly Coffee Emergency Group) 888.703.3301 www.EMBCC.com
Hospitalist Group Billing – Hive Revenue 864.208.2389 or log onto www.PatientDue.com and enter the QuickMatch Code found on your statement from Hive Revenue.
Universal RAD Consultants, PC / Zotec (imaging billing) 855.206.4925 Billing address: PO Box 1004, Indianapolis, In 46206-1004
What insurance plans do CRH Physician Practices accept?
- Beech Street Corporation
- CorVel Corporation Group Health Program
- Evolutions Health Care Systems
- IBG – Industry Buying Group
- NovaNet, Inc
- Prime Health Services
- PHCS – Private Health Care Systems
- South Georgia Purchasing Alliance Inc.
- TRPN – Three Rivers Provider Network
- Blue Cross/Blue Shield of Georgia PPO & Blue Open Access POS
- Cigna Healthcare (Cigna PPO, Cigna Open Access Plus, Cigna State Health Benefit Plan Products, GWH-Cigna Network-formerly Great West)
- Coventry (First Health PPO, Coventry HealthCare National Network, Coventry HealthCare of Georgia-HMO/Open Access/POS)
- Humana PPO and HMO (ChoiceCare Network PPO, Humana National POS – Open Access, HumanaOne)
- CorVel Corporation Workers’ Compensation Program
- Coventry Workers’ Compensation Program
- NovaNet Workers’ Compensation Program
- Advantra Medicare
- Aetna Medicare
- Care Improvement Plus
- Humana Medicare (HumanaChoice PPO, Humana Gold Choice PFFS, Humana Group Medicare PPO Plan)
- Prime Health Services Medicare
- Georgia Medicaid
- Peach State Health Plan
- Wellcare Medicaid
- Tricare/Champus PPO
- United Healthcare
What is the difference between coinsurance and copays?
The terms “coinsurance” and “copays” apply to features in some health benefit plans that require the patient to share the costs of medical services with the insurance company. Typically, coinsurance is calculated as a percentage of charges for medical services. Coinsurance is commonly associated with inpatient hospital stays and major medical procedures. Copays are fixed amounts paid by the patient, regardless of the amount charged for medical services. Copays are commonly associated with physician office visits, prescription medications or some hospital services.
Can you bill me for my copay?
Copays are due/payable at the time of service, as we do not bill for them. Please be prepared to provide your insurance ID card and pay your copay when you come in for an appointment.
What is a deductible?
The deductible refers to the amount that you (the patient) must pay for medical services before your health insurance company pays claims on your behalf. This is usually an annual amount. Once you have “met your deductible,” any medical claims subject to the deductible will be paid by the insurance company. Some services, like doctor visits, may not be subject to a deductible. Usually there are deductible amounts for each individual and for families.
Will my payment to CRH Physician Practices cover hospital fees also?
No. Hospital fees are billed by the hospital. For more information on hospital-related charges, please contact Coffee Regional Medical Center.
What services are covered by my insurance?
Patients often call to ask if a certain service is covered by their insurance. Unfortunately, we do not have ready access to the specifics of everyone’s benefit plans.
We recommend you contact your insurance company directly. If you have employer-paid insurance, your human resources/benefits department is also a good resource. Sometimes a specific billing code is needed to get accurate information. We will be happy to help you with that information.
Can I use my spouse’s insurance rather than my insurance?
If you have health insurance and are a subscriber, you must use it as your primary insurance coverage. The claims must be filed with your insurance carrier first. If you are also enrolled in your spouse’s plan, it can be filed as secondary coverage, if there is a balance due after your insurance pays.
Insurance companies attempt to “coordinate” benefits between them. They share information in order to verify which carrier should be responsible for payment on behalf of a patient. If you are covered by two plans, you have likely received letters of inquiry asking you to verify your insurance plan(s).
Why were there charges not covered by my insurance company?
Your health benefits are determined by your specific benefits plan and the insurance company that provides them. They typically provide a list of services that are not covered (excluded) by your plan. If you receive a service that is not covered by your insurance plan, you will be required to pay. We recommend that you check with your insurance company to verify the services that are covered.
Coffee Regional Medical Center is committed to providing meaningful information to our patients related to their financial responsibility for healthcare services. Coffee Regional makes every effort to provide complete and accurate information about the amount patients may be obligated to pay for the services they receive. Coffee Regional Medical Center works as a community partner to provide high quality, cost-effective healthcare services to our patients.
To ensure pricing transparency, the Centers for Medicare and Medicaid require hospitals to publish standard charges on which patient billing is based.
Coffee Regional Medical Center is committed to providing meaningful information to our patients related to their financial responsibility for healthcare services. Coffee Regional makes every effort to provide complete and accurate information about the amount patients may be obligated to pay for the services they receive. Coffee Regional Medical Center works as a community partner to provide our patients high-quality, cost-effective healthcare services.
A list of standard charges is available in CRMC’s searchable tool, which contains proprietary information of Coffee Regional Medical Center and is provided in compliance with 45 CFR §180.20 for sole use by yourself or your agents, as healthcare consumers, to make comparisons across hospitals for your potential out of pocket costs and expenses related to the delivery of healthcare services.
The standard charges are not reflective of final patient charges, nor does it represent amounts billed to patients. Each patient’s financial responsibility will vary depending upon insurance coverage and network discounts with payors, deductibles, co-insurance, copays, financial assistance approvals, and services provided for each patient’s unique needs. A standard charge in no way guarantees payment by any insurer.
The use of this information is being granted to patients in accordance with federal laws. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of standard charges for resale and/or license, creating any modified or derivative work of standard charges, or making any commercial use of standard charges, or using the charges in an anti-competitive activity that is prohibited by state or federal laws.
By accessing the files, you understand that you should only use them for the purposes defined by the federal Price Transparency laws and not to remove, reverse engineer, alter or modify the information without the consent of the Hospital.
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