Billing & Insurance

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.

Contact Us

You will receive a copy of your bill in the mail after you return home. If you have any questions concerning the bill, please call our Patient Financial Services representatives for assistance.

Commercial insurance:

If your last name begins A through L: 815-780-3417

If your last name begins M through Z: 815-780-3897

Medicaid plans: 815-780-3572

Medicare plans: 815-780-3554

Workers’ Compensation 815-780-3556

Thank you for choosing IVCH for your health care needs.

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Physician Services

We bill for physicians and other healthcare providers who are members of the IVCH Medical Group. We also bill for IVCH emergency room physicians and for some physician-provided cardiology 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.

Medicare does not cover all services provided in the hospital setting. Here are two examples of uncovered 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 uncovered 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 uncovered 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.

Audits

If you believe you have a charge error, contact the Patient Financial Services Department and request an audit of your account at 815.780.3418.

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.

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.

Hospice Billing

Illinois Valley Hospice is a Medicare-certified hospice program. This status means the hospice services we provide are covered under Medicare and Medicaid. We also accept most private insurance plans.

Hospice coverage generally includes any services related to the terminal diagnosis, including:

  • Medications for pain relief and symptom management
  • Medical supplies and equipment
  • Physician services
  • Medical social services
  • Nursing services on an intermittent basis
  • Home health aide and homemaker services
  • Continuous care during periods of crisis
  • Short-term hospital care
  • Trained volunteers for in-home respite on an intermittent basis

No one is ever denied care for financial reasons. For patients and families who may be unable to pay for hospice services, Illinois Valley Hospice offers a charity care program. For more information, call the hospice billing department at 815.224.1307.