Medicare billing questions and answers Do I have to sign any forms before you can bill Medicare? Can I write one check for all my bills? I have other health insurance in addition to Medicare. Will you bill that insurance company also? I saw a consulting physician specialist at one of your clinics. Will those charges be on my clinic bill? I was never admitted to the hospital. Why am I getting a hospital bill? The statements I’m getting from Logan Medical Center all look alike. How can I tell which are bills that should be paid and which are just for my information? Should I pay the balance labeled "your total responsibility" on Part B of my Medicare statement? What if I get more than one bill? What is a Medicare explanation of benefits form? What is the difference between Part A and Part B of the Medicare Summary Notice? What should I do with the monthly statements I get from Medicare? Whom can I talk to with questions about my bill? Why do I have to give you information about other insurance if I have Medicare coverage? Will I have to pay anything for my hospitalization or clinic visits? How can I learn more about Medicare? 1. Do I have to sign any forms before you can bill Medicare? At your clinic, you will need to sign one form that will be kept in your patient record. This form should cover all clinic visits. If you are hospitalized or receive hospital services (outpatient procedures, etc.), you will be asked to sign a Medicare authorization form, even if you have been to one of our clinics and already completed a form. --back to top-- 2. Can I write one check for all my bills? Please write a separate check for each bill you receive from Logan Medical Center and the physician clinics. You have been assigned separate accounts for clinic and hospital bills. Sending separate checks helps ensure that your accounts will be credited accurately. --back to top-- 3. I have other health insurance in addition to Medicare. Will you bill that insurance company also? If you have given us information about your additional health insurance, we will bill that insurance company after Medicare has made its payment. On its monthly summary notices, Medicare sometimes indicates that it submitted information to your secondary insurer. In those cases, Logan Medical Center will not send a claim to your supplemental insurance company. --back to top-- 4. I saw a consulting physician specialist at one of your clinics. Will those charges be on my clinic bill? No. If you receive care from a consulting physician specialist (a doctor who travels from another facility to see patients at the clinic), you will receive a bill from the physician’s office, not from Logan Medical Center. --back to top-- 5. I was never admitted to the hospital. Why am I getting a hospital bill? It is because you received hospital-based services, such as lab tests or X-rays, during a clinic visit. Government regulations require us to send a separate "hospital" bill for those services. --back to top-- 6. The statements I'm getting from Logan Medical Center look alike. How can I tell which are bills that should be paid and which are just for my information? On hospital statements, look at the right-hand side of the statement for a column titled "Patient." If this column shows a balance owed, you should pay the amount indicated. If this column is blank, Medicare and your supplemental insurance carrier have paid the claim, or we expect that they will cover all charges. On clinic statements, look at the upper right-hand corner of the statement for a space labeled "Balance." Now look at the lower right-hand corner for a space labeled "Pay this amount." These two amounts will be the same. They tell you the balance that is due on your account. The boxes along the bottom of the statement tell you how many days your account is past due. You will not receive a statement unless you owe money. --back to top-- 7. Should I pay the balance labeled "your total responsibility" on Part B of my Medicare statement? No. This amount could change depending upon your insurance coverage. You should wait until you receive a bill from your medical provider before making any payment. --back to top-- 8. What if I get more than one bill? Although Logan Medical Center and its physician clinics are one organization, we are required to bill patients separately for clinic services and hospital services. You will receive a hospital bill for hospital services or for any lab or X-ray (radiology) services you received at a hospital or clinic. You may receive another bill from a clinic for clinic services. Such bills are usually for services provided by clinic physicians. --back to top-- 9. What is a Medicare Summary Notice? It is a document that Medicare sends after it has processed your medical claims to inform you about the payment status of your bill. The monthly statement replaces these letters: Explanation of Your Medicare Part B Benefits (EOMB), Medicare Benefit Notice (Part A), Explanation of Medicare Benefits (Part A) and Benefit Denial. For more about the Medicare Summary Notice, visit Medicare's Web site. --back to top-- 10. What is the difference between Part A and Part B of the Medicare Summary Notice? The forms relate to the type of medical coverage you have. If you have Part A coverage, you’ll receive the Part A form. If you have Part B coverage, you’ll receive the Part B form. Your Medicare card lists the type of coverage you have. For more about the Medicare Summary Notice, visit Medicare's Web site. --back to top-- 11. What should I do with the monthly statements I get from Medicare? You should keep each statement or Medicare Summary Notice until all your medical claims have been paid in full. If you have coverage in addition to Medicare, your insurance company may require a copy of the statement from you before they will pay any remaining balance on your account. Logan Medical Center does not receive copies of your Medicare Summary Notice. If you have not received the monthly statement, or have misplaced it, you can request a second copy. If you are an Oklahoma resident and have Medicare Part A coverage, call (toll free) 1-800-722-3218, option 3. If you are an Oklahoma resident and have Medicare Part B coverage, call 1-866-582-3247. If you are a resident of another state, call your state Medicare intermediary. For more information, visit the United States government's official site for Medicare members. --back to top-- 12. Whom can I contact with questions about my bill? Our customer service representatives can help you with any questions or concerns. If your question is about a hospital or clinic bill, call 405-282-6700 and ask for the billing department. --back to top-- 13. Why do I have to give you information about other insurance if I have Medicare coverage? Medicare requires us to bill any insurance companies that could be responsible for your expenses before we bill Medicare. In fact, Medicare will not allow us to file claims until the other insurer has denied claims. In certain situations, we must consider the possibility that another party may be responsible for your expenses before we bill Medicare. For example, if you were injured in a car accident, at work, or on someone else’s property, it is our responsibility to make sure related claims are filed appropriately. Consequently, we need to have complete information about all insurance coverage that you have. --back to top-- 14. Will I have to pay anything for my hospitalization or clinic visits? As a Medicare patient, you will only be responsible for uncovered charges, co-payments and deductible amounts. These amounts may vary depending on your Medicare coverage. We do not know what your payment may be until we receive the notification from Medicare. Once Medicare lets us know what your responsibility is, we will bill your Medicare supplemental insurance company for the balance. If you do not have supplemental coverage, you will be billed for the balance. --back to top-- 15. How can I learn more about Medicare? Visit the United States government's official site for Medicare members. --back to top-- More Information Clinic billing questions Financial Services Medicare billing questions