United Hospital Center’s Specialty Clinic billing department will file your medical insurance claim. If you are not covered by insurance, arrangements for the payment of the bill should be made with the Billing Department. Each patient is ultimately responsible for payment of all services rendered. If you would like an itemized statement, please contact the Billing Department and one will be mailed to you.
You will receive a separate bill each time you visit the office. If you have surgery with us, there is a 90 post-operative period included in the charge for your surgery. You will not be charged a copay for these visits.
Copayments for services are collected at each visit. We accept Cash, Check, or credit cards.
Certain fees, such as those charged by the physician who interpreted your x-ray; administered anesthesia during surgery; or conducted EMGs or stress tests, are not included in your UHC Orthopaedics bill. This also includes services provided by emergency medicine physicians and hospitalists. You will receive separate statements from the physician for these services, as well as separate statements from your personal physicians and/or consulting physician.
If you have any questions concerning your bill, please call 681-342- 2455. You should contact the organizations listed below if you have questions concerning fees from your anesthesiologist, emergency department physician, and radiologist.
What does “provider-based clinic” or “outpatient clinic” billing mean?
“Provider-based” or “outpatient clinic” billing refers to the billing process used for services provided in a clinic such as this one. The doctors are employed by United Hospital Center which owns the space and provides support staff for the doctors.
How does this affect my billing?
If you have Medicare, you will receive two separate bills from the clinic; one from the doctor for his/her services, and one from the hospital for use of the facility. This will happen even if you have not been treated inside the hospital. These are not duplicate bills.
Why will I get two separate bills for a single visit?
Because the hospital owns the clinic, provides support staff for the doctors and meets certain Medicare regulatory requirements, Medicare allows the hospital to bill separate from the doctors’ fees. This is a common practice and is not unique to the clinic.
How does this affect a patient who has insurance?
Depending on your insurance plan, you may have copayments for each of the two bills. Additional out-of-pocket expenses may also be incurred, depending on the services provided. What if a patient has secondary insurance coverage? Co-insurance and deductibles may be covered by a secondary insurance policy. Check with your benefits or insurance company for details regardjng secondary coverage. For example, you may ask whether the secondary insurance covers “facility charges” or “provider-based billing.” If it does, ask what percentage is covered. Verify your hospital outpatient insurance benefits, as they are usually applied toward your deductible and coinsurance.
|Outpatient Clinic or Provider Based
||The terms Medicare uses for clinics such as UHC Orthopaedics and Sports Medicine
|Physician Charge or Outpatient Charge
||The fee from the doctor who treated you at UHC Orthopaedics and Sports Medicine
|Facility Charge or Hospital Charge
||The fee from the hospital (United Hospital Center) which owns and operates the UHC Orthopaedics and Sports Medicine practice and includes a charge for the other staff, supplies, and overhead costs that are a part of your visit.