Billing Process
Medicare
We bill Medicare and your secondary insurance following receipt of Medicare's payment. Once your secondary insurance has been billed, you will receive periodic statements advising you of the balance due. GoldenHealth PLUS patients should not receive billing statements for hospital in-patient charges, other than services not covered by Medicare Part A. You will receive bills for physicians, hospital out-patient and Medicare Part B services.
PPO/EPO/HMO (Managed Care)
We will bill your contracted insurance carrier. You will not be billed while the claim is processing with your insurance carrier. Upon receipt of their payment or denial, we will bill you for co-insurance, deductibles and non-covered services.
Medi-Cal/CalOPTIMA
With verified eligibility and receipt of any monthly share of the cost, we will bill MediCal/CalOPTIMA for authorized services.
Group/Indemnity
Group and indemnity insurance will be billed for charges incurred. You will receive periodic statements advising you of the balance due.
Cash
Those patients with no insurance coverage will be expected to make payment at the time services are rendered.
Balance Billing-Patient Responsibilty
If you are unable to pay for your portion of your bill in full, please contact us to arrange mutually acceptable payment options.
Our Billing Policies
- Know your insurance plan’s provisions and requirements. Be sure to read your benefits handbook and question your insurance company on any areas that are unclear.
- Please call your insurance company for authorization of hospital services if it is a plan requirement. If authorization is not obtained in the timeframe your policy dictates, you may be heavily penalized, or services may be denied by your carrier.
- Hoag will bill both your primary and secondary insurance plans.
- With verified eligibility and receipt of any outstanding monthly share of cost, Hoag will bill Medi-Cal or CalOptima for authorized services.
- Once insurance payment(s) or denial(s) have been received, you will be billed for any deductible, co-insurance, co-pay or non-covered amounts.
- Those patients with no insurance coverage will be expected to make payment at the time services are rendered.
- Price quotes for services are estimates only. Your bill will indicate services as ordered by your physician.
- Itemized statements are available upon request.
- Medi-Cal and Medical Services for Indigents (MSI) representatives are available for those patients needing information regarding financial assistance programs. A Hoag Hospital representative can be reached at 949/764-5564.
- Deposits - If you have acceptable verified medical benefits, no deposit is required for most procedures. Please bring your insurance card and/or insurance form at time of registration. Otherwise, the hospital will require a deposit. The hospital accepts Visa, MasterCard, Discover and American Express. Deductibles, co-insurance & co-pays will be collected at time of service.
- Customer service representatives are available Monday through Friday from 8:00 a.m. - 4:30 p.m. to provide you with estimates of charges for upcoming surgical procedures as well as most deposit requirements. For inquiries, please call 949/764-8271.
- The patient accounting staff is available Monday through Friday 8 a.m. - 4:30 p.m. (except holidays) to provide customer service to our patients regarding services at Hoag Hospital. Please call us at 949/764-8400 with your questions so we can help you. Our patient accounting department can also provide billing for services rendered at the following Hoag facilities:
- Hoag Breast Care Center
- Hoag Cancer Center
- Hoag Health Centers (*radiology services only)
- Hoag Lido Surgical Center
- Hoag Surgicare
- James Irvine Surgical Center
Common Questions about Your Billing
1. Do you bill my insurance company?
Yes. Hoag Hospital will bill for hospital services. Please remember to present your current insurance information at time of registration.
2. Will you bill my secondary policy, too?
Yes. Upon receiving payment or denial from your primary insurance, Hoag will gladly bill your secondary insurance for any remaining balance due.
3. Do I need to pay my deductible, co-insurance or co-pay at the time of service?
Similar to your doctor’s office visits, Hoag requires your co-insurance, co-payment and/or deductible to be paid at the time of service. Cash, check, money orders and credit cards are accepted as payment.
4. Will I receive an itemized statement?
If at any time you wish to receive an itemized statement of your charges and payments, please call Patient Financial Services at 949/764-8400 and a representative will order one to be mailed to you. This process usually takes five to seven days.
5. Who can I talk to if I have questions or concerns about my bill?
Please call Patient Financial Services at 949/764-8400, our representatives will be happy to assist you.
6. Will my insurance cover these services?
Coverage varies. Please call your insurance company, plan administrator, insurance broker or the benefits (sometimes human resources) department of your employer with any questions regarding coverage.
7. Who else might I receive a bill from?
You will be billed separately by each physician involved in your care. These physicians may include your surgeon, assistant surgeon, anesthesiologist, radiologist (if X-rays are performed), pathologist (if pathology specimens are examined), cardiologists, and any physicians who might interpret an exam ordered by your doctor.
8. Why do I have more than one account number?
A separate account number is generated for each outpatient date of service and each inpatient admission. This enables Hoag to bill for specific charges and diagnosis relating to your care for that date of service, and enables your insurance company to apply the proper benefits. Exception: For recurring outpatient accounts such as physical therapy or radiation therapy, a separate account is generated monthly.
Contact Us
Patient Financial Services Customer Service Phone Number
Please call 949/764-8400 to speak with a customer service representative. Hours: Monday – Friday, 8am-5pm (except holidays).
Patient Financial Services Email
PFS@hoaghospital.org
Patient Financial Services Walk-In
Customer service representatives are located in the Cashiers Office on the hospital campus. Hours: Monday – Friday, 8am-4:30pm (except holidays)
Written Correspondence
Hoag Hospital
One Hoag Drive
P.O. Box 6100
Newport Beach, CA 92658-6100
Payments
Hoag Hospital
One Hoag Drive
P.O. Box 6100
Newport Beach, CA 92658-6100
Price Line
To receive estimated pricing information on procedures or surgeries please phone:
Hoag Newport Beach949/764-8271
Hoag Irvine949/515-3000 ext 82316
Financial Counselors
To discuss financial assistance programs please phone:
Hoag Newport Beach949/764-5564
Hoag Irvine949/515 3000 ext 82316
Insurance Information Service
Please call 800/400-HOAG (4624) or email us at Insurance@hoaghospital.org if you have questions about your health insurance plan or network and their affiliation with Hoag Hospital.