Frequently Asked Questions
Grace Health System® will bill your insurance company directly (unless you specify otherwise), you are ultimately responsible for making certain that your bill is paid. If a balance remains after your insurance has issued a payment or a denial, payment is due immediately upon receipt of your statement.
Our statements only include open charges. If you paid one or more of your charges in full, those charges and that payment will not appear on the statement any longer. Only balances still due will show on your statement as well as the payments associated with them. If you want to verify that your payment was received and has been posted to your account, you can contact our billing personnel and we will be happy to assist.
The answer could be as simple as the charge was actually keyed into the computer system prior to updating the insurance information. This is certainly not intentional and if you do receive a statement showing you owe the full amount and there is no notation on the statement letting you know the charges are being denied by your insurance, you can contact billing personnel with your information and we will take care of it for you.
GHS does have a cash discount for self-pay patients. The discount is 150% of the current Medicare fee schedule. This only applies if balance is paid in full at time of service.
All self-pay balances are billed to you in full. You have to contact the billing personnel to fill out and sign an agreement to pay account in full in a certain amount of time. If the outstanding balance is not paid in agreed time frame the balance may be sent to collections.
You must sign a release in order for GHS to give you your medical records or to send them to another physician. You need to contact the Health Information Management department. They will have you sign the release and give you a copy of your records.
Grace Health System® participate in most insurance plans but you are encouraged to verify if the physician or the medical center is included on the list of in-network providers for your insurance. If you arrive at the clinic or hospital and are unsure, you should inquire with the staff prior to any services are provided. If you have any services provided that is not in-network with your insurance, you risk reduced benefits or no coverage at all. You will be held responsible for what your insurance does not pay.
IC systems is the outside collection agency that Grace Health System® uses when self-pay balances are not paid within an acceptable period of time, and we are unsuccessful collecting the balance within our in-house collection process. If you receive a letter or a phone call from IC systems, you need to contact them to settle on the account. If you have specific questions about the charges, you can contact patient financial services at Grace Medical Center® or Grace Clinic®.