Billing
Billing and payment information
Illinois Valley Community Hospital is committed to providing quality health care and service to our patients. In order to continue this mission, it is essential that payment be received for services provided.
As a courtesy to our patients and their families, IVCH will submit claims on your behalf to any insurance company according to established guidelines. To do this efficiently, it is important to present accurate and complete “insurance information” at the time of registration.
By working together, we can minimize billing costs as well as potential misunderstandings that could be costly to our patients and their families.
Physician Services
IVCH only bills for IVCH Emergency Room Physicians and cardiology professional services. All other physicians are independent practitioners and will bill you or your insurance carrier directly.
Insurance Pre-certification
It is important for you to know if your insurance company or HMO/PPO require pre-certification for any care provided at a hospital. If pre-certification is required and you or your physician do not take steps to ensure this authorization is obtained, you may be responsible for reduced benefits due to penalty costs or the possible denial of the entire claim.
Medicare
IVCH will bill Medicare. After we receive payment from Medicare, we will then bill your secondary insurance carrier for the balance if you have provided us with that information. If you do not have secondary insurance, we will bill you directly for the remaining balance. If payment is not received within 30 days from your secondary insurance, we will ask you to contact your insurance carrier to speed up the payment.
Non Covered Medicare items
Medicare does not cover all services provided in the hospital setting. Here are two examples of non covered Medicare Services:
Some drugs in the outpatient hospital setting may not be covered by Medicare. These include pills, ointments, eye drops and some injectables. IVCH has made every effort to identify covered drugs. IVCH will bill you for any non covered medicare drugs utilized during your visit.
Ambulance services must meet Medicare’s Medical Necessity criteria to be covered. If the patient is able to sit in a wheel chair the ambulance service is most likely not covered.
For more information regarding non-covered Medicare services call 815.780.3554.
Insurance Billing
Within 45 days after billing, you will be billed for any balance due. If you have not provided us with adequate information to bill your insurance company, we will bill you.
Medicaid
After you present us with a valid Medicaid card, we will bill the Illinois Department of Public Aid for you.
Payment Arrangements
Payment in full is expected within 30 days for any balance due by you. If you need to make payment arrangements please contact us at 815.780.3764 to discuss your options.
It is very important that if you cannot pay the balance due that you contact our Collections Department to ensure your account is not forwarded to an agency for collection.
Employment related injuries
If your employer has recognized your injury as work related, we will bill your employer. If payment is not received within 30 days of the billing date, we will ask you to contact your employer to expedite payment. If your claim is denied by your employer or worker’s compensation carrier, you will be billed directly.
Non-Work related injuries
If insurance is not involved, you are fully responsible for your hospital bill. It should be paid within 30 days of receipt of our bill.
Audits
If you believe you have a charge error, contact the Patient Financial Services Department and request an audit of your account at 815.780.3205.
Itemized statements
IVCH will provide you with an itemized statement upon request. You can call the Patient Financial Services Department to obtain a copy at 815.780.3205.
Bank Plans
IVCH has arranged with several local banks to provide low interest loans to our patients for payment of IVCH bills. If you would like more information about this service contact the Patient Financial Services Department at 815.780.3205.
Credit Cards
We accept Visa, MasterCard and Discover and can take your payment over the phone by calling 815.780.3205 or we can accept your payment online.
Assistance Program
IVCH provides financial assistance for IVCH bills to qualified low income patients. Contact the Patient Financial Services Department at 815.780.3205 for more information.
Phone Numbers
Dial the number associated with the patient’s insurance type and last name.
Medicare Billing
815.780.3554 or 815.780.3570
Insurance, & Medicaid Billing
A through L 815.780.3572
M through Z 815.780.3556
Credit and Collection
815.780.3764 or 815.780.3205
Worker’s Compensation
815.780.3456
Thank you for choosing IVCH for your healthcare needs.
