hospital staff and patient

Patients & Visitors

Billing & Payment Information

Illinois Valley Community Hospital is committed to providing high-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

We only bill 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 Precertification

It is important for you to know if your insurance company or HMO/PPO require precertification for any care provided at a hospital. If precertification 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.

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.

For Medicare Patients

We will bill Medicare for all covered charges and also bill one supplemental insurance plan for you for the balance if you have provided us with that information. 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. If you do not have secondary insurance, we will bill you directly for the remaining balance.

Noncovered Medicare Items

Medicare does not cover all services provided in the hospital setting. Here are two examples of noncovered 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 noncovered medicare drugs used during your visit.
  • Ambulance services must meet Medicare’s Medical Necessity criteria to be covered. If the patient is able to sit in a wheelchair, the ambulance service is most likely not covered.

For more information regarding noncovered Medicare services, call 815.780.3554.

For Medicaid Patients

We accept all Illinois Department of Public Aid patients with hospitalization coverage shown on a current valid card. The patient is responsible for payment of the spend-down portion when applicable.

Public Injury or Other Claims Involving Litigation

In cases where liability insurance or litigation is involved, we will expect payment from you regardless of your claim against another party. With proper authorization, we will make our records available to you or your attorney.

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.

Workers' Compensation Cases

We will recognize workers’ compensation cases when the insurance company guarantees payment in writing prior to or at the time of your admission.

Health Claims Counseling Service

The IVCH health claims counseling service offers free assistance to people who are having difficulty understanding or processing health care bills and insurance claims. Health claims counselors can help organize bills for payment and assist with Medicare and insurance companies. For more information, call 815.780.3131.

Payment Arrangements

Payment in full is expected within 30 days for any balance due by you. If you need to make payment arrangements, please call 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.

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, call the Patient Financial Services Department at 815.780.3764.

Credit Cards

We accept Visa, MasterCard and Discover. You can make your payment over the phone by calling 815.780.3205, or we can accept your payment online.

Assistance Program

We provide financial assistance for IVCH bills to qualified low-income patients. Contact the Patient Financial Services Department at 815.780.3764 for more information.

Contact Us

You will receive a copy of your bill in the mail after you return home. If you have any questions concerning your bill, please call one of our patient account representatives at one of the following numbers. (Dial the number associated with the patient’s insurance type and last name.) Medicare, insurance, workers’ compensation and Medicaid billing:

  • A through L: 815.780.3571
  • M through Z: 815.780.3554
  • Blue Cross, A through Z: 815.780.3572

Credit and collection A through Z: 815.780.3764

Business office director: 815.780.3418

Thank you for choosing IVCH for your health care needs.

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