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, we will gladly bill your secondary insurance for any balance remaining.

3. Will I receive an itemized statement?

If at any time you wish to receive an itemized statement of your charges and payments, please call our Patient Accounting department and a representative will order one to be mailed to you. This process usually takes two or three days.

4. Who can I call if I have questions about my bill?

Please call our Patient Accounting department at 949-764-8400. Our representatives will be happy to help you.

5. Does Hoag Hospital accept assignment from Medicare?

Yes. By accepting assignment, Hoag Hospital agrees not to bill the patient for any charges Medicare disallows. However, we do bill patients for deductibles, co-insurance amounts and noncovered services.

6. Do you accept my insurance company’s payment as payment in full?

All patient deductibles, co-insurance, co-payments and non-covered services are due and will be collected prior to, at the time of service, and/or once your insurance company processes and pays your claim. Many of the insurance companies send you an exclamation of benefits which explains how they process the claim and what is considered patient liability and owed by you. We except cash, check, Visa, MasterCard, Discover and American Express.

7. Who else might I receive a bill from?

You will be billed separately by each physician involved in your care. These physicians usually include your surgeon, assistant surgeon, anesthesiologist, radiologist (if X-rays are performed), pathologist (if pathology specimens are examined), cardiologist, and any physician who may interpret an exam ordered by your doctor.

8. Will my insurance cover these services?

Coverage varies. Please call your insurance company, plan administrator, insurance broker or the benefits department (sometimes human resources) of your employer with any questions regarding coverage.

9. What does the balance I am being billed for represent?

The balance after your insurance has paid reflects any remaining deductible or co-insurance amount. Your insurance company is best able to help clarify your amount due. Most insurance companies provide you with an Explanation of Benefits to help answer any questions.

10. Why do I have more than one account number?

A separate accounting number is generated for each outpatient date of service and each inpatient admission. This enables us 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.