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Billing Information For Mercy Clinics Patients       Pay Your Clinic Bill Online

Thank you for choosing Mercy Clinics, Inc. for your health care needs.  We believe there are several important things you should know about your financial responsibilities when receiving medical care.  Please consult this guide for information regarding our billing process.

Registration

When you check in for your appointment, you will be asked to:

  • Provide either a current insurance card or information about your current insurance company.
  • Sign an Assignment of Insurance Benefits form.  This form allows Mercy Clinics to file with your insurance carrier and have your carrier make payments directly to Mercy Clinics.

As a service, we will file your insurance claim, but you are ultimately responsible for the payment of services provided. 

Payments

  • Mercy Clinics requests the patient portion of charges to be paid at the time of service.  The amount you pay varies depending on your insurance coverage.
  • Most insurance policies require patients to pay a percentage of the cost of services (co-payment) at the time of service.  Depending on the type of service, you may also be required to pay a deductible.  If possible, we will inform you of the approximate amount you will owe, and arrange for payment.
  • Mercy Clinics accept cash, personal checks, MasterCard, Visa, and Discover Card.

Insurance Information

Insurance companies do not always pay for all of the medical services you receive.  You will be responsible for payment of any service that is not covered by your insurance policy. 

    Medicare:

  • Mercy Clinics will bill Medicare on your behalf for services rendered. 
  • For your convenience, your supplemental carrier will be billed for any balance following Medicare’s payment.
  • You are responsible for any applicable deductibles, co-payments or other amounts that are not paid by Medicare.

    Medicaid:

  • We require all Medicaid patients to present their current eligibility card at the time of registration.  Without verification of coverage, you will be responsible for your account.
  • You are responsible for any balances that Medicaid identifies as patient responsibility and any additional requirements associated with your individual coverage.

    Other Medical Insurance:

  • We will bill your insurance carrier if you have provided us with all of the necessary policy information.
  • You are responsible for any applicable deductibles, co-payments or other amounts not paid by your insurance carrier.
  • In the absence of necessary billing information, you will be responsible for payment of your entire account.
  • In the event your insurance carrier is not prompt in making payment, Mercy may need your assistance in contacting your carrier for payment.
  • In cases where the service has not been paid, you will be personally responsible for the bill.

     Workers Compensation:

  • You are responsible for following your employer’s process for work related injuries. 
  • As a service, we will bill your employer’s workers compensation carrier for work comp visits; however, we will not become involved in disputes between you and your company other than to supply factual information.

    Third Party Liability:

  • If you have been injured in some manner, whether automobile accident, fall, etc., another party may have some legal responsibility for your injuries.  Although this is a matter between you, your attorney, and the party responsible for the injury, Mercy Clinics is required to bill your medical insurance carrier.
  • If you are a Medicare recipient, health care billing laws require that we bill the liability insurance carrier first, then Medicare. You are responsible for contacting Medicare to notify them of the third party liability information.

Billing Statements

  • As a service to our patients, we will file your insurance according to the information provided to us at the time of service. 
  • Normally, the insurance carrier will send you an explanation of benefits explaining what they have paid and what the patient’s portion is to pay.
  • After the insurance company has paid their portion of the bill:

       You will receive one family statement from Mercy Clinics, including the billing for all family members.

       This statement will be mailed to the guarantor – the person responsible for payment. 

       Each family member will be listed with his or her appropriate charges.

       Any balance pending with your insurance carrier will not be represented on the billing statement. 

       Billing statements are mailed every 30 days.

  • If you are unable to pay the balance in full, please call the customer service number to set-up payment arrangements.
  • Accounts that become delinquent may be forwarded to a collection agency for further collection activity.

Financial Arrangements

The Mercy Physician Billing Office has trained financial counselors available to discuss your individual needs.  If you do not have insurance or will have difficulty in paying your portion of the bill, the counselors can assist you in making payment arrangements, reviewing your eligibility for Mercy’s financial assistance program, or referral for public assistance.

The Mercy Physician Billing Office is open from 8:30 a.m.-4:00 p.m. Monday through Friday.  You can reach our office by calling (515) 643-2519 or toll-free at 1-888-515-7155.
 

Please note:  Mercy Medical Center uses separate billing statements.  If you receive outpatient services from the hospital, such as outpatient lab or radiology services, you will receive a separate bill for those services. For financial assistance for a hospital bill, please read  Payment Options & Financial Assistance.