The Patient Account Team * How Our Billing Works * If You Have Health Insurance * If You Have Medicare * If You Have No Health Insurance * Billing and Your Insurance * Bills for Other Services * Forms of Payment * Frequently Asked Questions * Definition of Healthcare Billing Terms
We understand your financial health is just as important as your physical health, that’s why our experienced and caring staff in Patient Accounts is here to help you with all of your healthcare financial questions. Our goal is to ensure your hospital bill is processed correctly and efficiently. We understand that billing and collections for health care services can be confusing. At any time, our friendly staff will be glad to assist you understand your bill and the role of your insurance company.
The Patient Account Team
Please feel free to call our Patient Account team representatives who will be happy to assist you between the hours of 8:00 a.m. and 5:00 p.m.
AHCCCS (520)
417-3054
Blue Cross (520) 417-3027
Commercial (520) 417-3024
Medicare (520) 417-3021
Tricare (520) 417-3027
Workers Compensation (520) 417-3024
How Our Billing Works
Whether you are scheduled for an outpatient procedure or an inpatient stay, payment of your bill will be discussed when you come to the hospital to register at Client Services. You may also call our pre-admission specialist at (520) 417-4537. You will be asked for your insurance information and who is directly responsible for payment of the bill. That person is known as the guarantor and may be the patient, a parent, or a guardian.
If your services were not previously scheduled, as in the case of an emergency, we will ask for insurance and guarantor information at the time we register you for care, or as soon afterward as possible.
By taking this first step you help us ensure we bill insurance companies accurately and on time and that your insurance will pay for your care.
If You Have Health Insurance
Our Client Services staff will verify your health insurance coverage prior to your scheduled admission or when you arrive for services. Please bring your current insurance ID card with you.
After your insurance is verified, we will estimate any amount that is not covered by your insurance, such as deductibles and/or co-pay amounts. If your insurance has a predetermined co-pay or deductible, please be prepared to pay that amount in full on the day of services.
Insurance plans SVRHC currently accepts:
Company Umbrella/HMO/PPO
Accountable Health Plan
Aetna US Healthcare HMO/UM
ADMAR PPO
Affordable Healthcare UM
America's Health Plan UM
APIPA - Hospital Services
APIPA - Hospice Services
APIPA Personal Care Plus Medicare HMO
Beech Street Corp UM/PPO
Blue Cross Blue Shield AZ PPO/HMO
CCN, Inc UM
CAPP Care UM/PPO
CIGNA Health - HMO & Gatekeeper HMO
CIGNA - PPO PPO
Foundation for Medicalcare PPO
Health Net HMO/PPO
Health Payors Org HMO/PPO
Humana Health Plan HMO
Humana Medicare Advantage Medicare HMO
Mercy Care Sub
Preferred Plan of AZ UM
Principal Healthcare of AZ PPO
Private Health Sys PHCS PPO
Rural AZ Network HMO/PPO
Three Rivers Provider PPO
TMCare Health Network UM
TriCare
United HealthCare
United Medicare Advantage Medicare HMO
University Physicians - AHCCCS
University Physicians HealthCare Grp
USA Managed Care
If You Have Medicare
Our Client Services staff will verify your Medicare enrollment when you register for services. If you have a supplemental policy to Medicare we will need to have that information, also. Please bring your Medicare card and your supplemental insurance card with you.
Medicare requires that we ask you several questions each time you register for services. These questions are important and help both Medicare and Sierra Vista Regional Health Center submit your claim as efficiently as possible.
If You Have No Insurance Coverage
A financial counselor will discuss your payment options with you. We can estimate your total charges and discuss our payment schedule with you. Additionally the financial counselor will ask questions to determine if you may be eligible for government assistance such as AHCCCS (Arizona Health Care Cost Containment System). You may contact a financial counselor by calling (520) 417-3018.
If you have applied for AHCCCS, please advise us as soon as you receive verification that your application is approved by calling (520) 417-3054.
We request that all patients without health insurance make payment arrangements prior to a scheduled admission or outpatient service. A deposit will be expected.
Billing and Your Insurance
We bill all major insurance carriers including Medicare, Blue Cross/Blue Shield, Tricare, AHCCCS, Worker’s Compensation and Health Maintenance Organizations (HMO’s). You can help us help you by informing us of changes to your address, phone number, or insurance carrier by calling (520) 417-3020.
A bill is submitted to your insurance company about ten days after your services. When your insurance company sends payment to us, they will also send you an explanation of what was paid based on your benefits. We allow 60 days for your insurance to pay for your services.
If there is a balance due after your insurance has paid, our Patient Account department will send you a statement for that amount.
Bills For Other Services
You will receive a separate bill for all physician services. These include ER visits, X-ray interpretation, laboratory test evaluation, physician care while you are in the hospital, and other services performed by a physician. If you have questions about services or bills from a physician, please contact them directly. (Please see related information under Frequently Asked Questions, below.)
Forms of Payment
For your convenience, we accept Visa, MasterCard, American Express, Discover, personal checks, and cash. We also have a secure drop box in our parking lot just to the east of our main entrance canopy.
Send all correspondence to:
Sierra Vista
Regional Health Center
Patient Accounts
300 El Camino Real
Sierra Vista, AZ 85635
Mail all payments to our secure lock box:
Sierra Vista
Regional Health Center
P.O. Box 29675-2028
Phoenix, AZ 85038
Frequently Asked Questions
1. How do I know how much I really owe?
After your insurance company makes payment, you will receive a summary statement indicating any payment you owe. We are happy to assist you regarding this or any portion of your healthcare costs by calling (520) 417- 3020.
2. Who can I call for help and what is the number?
We welcome your telephone call at any time. Whenever you need help, please call us at (520) 417- 3020.
3. What if I cannot pay?
We understand that paying for healthcare may be a concern. Our financial counselors are happy to assist you with your payment options. You may call them at (520) 417-3018.
4. Where are you located?
We are located at 300 El Camino Real in Sierra Vista. Please click here for directions to our hospital. [Link to Map Quest]
5. I did not receive these services, what should I do?
For any questions regarding your billing, please call our Patient Accounts Department at (520) 417- 3020.
6. I received more than one bill for services. Why?
Sometimes you may receive more than one billing for services. If you were seen in our Emergency Department, there will be a bill from the emergency physician. If you received an X-ray or other radiology type service, you will receive a bill from radiology services.
For information regarding additional billing please call:
(520) 722-3777
for Emergency physician billing
(800) 634-0665 for Radiology services billing
Please call our Quality Department at (520) 417-4542 if you have any other concerns regarding additional billing.
7. How do I know if you are contracted with my insurance company?
The most current information regarding contracted services may be obtained from your insurance company. We encourage you to call them for specific information according to your insurance plan.
8. If Sierra Vista Regional Health Center is “out of network” for my health plan, can I still go there for services?
You may receive care at our hospital if your company is not “contracted” with our hospital – please contact your insurance company to determine what portions of your service will be covered.
9. My hospitalization resulted from an accident. What should I do?
Please call us at (520) 417-3070 so you can assist us with additional information we need for accurate billing.
Click
here for a Glossary of Healthcare Billing Terms
Mary
McGuire, Director
(520) 417-4575
Cheryl McGeoghegan , Assistant Manager
A/R Management
520-417-3015

