Berger Health System - Caring for you, Caring for our Community

Billing FAQ

When will I get my bill?
If you verified your insurance information when you registered, you will receive a bill:
- If your insurance company pays the claim, leaving a co-insurance, deductible, or non-covered services.
- If your insurance company denies the claim.

When do I become responsible for paying my bill?
You are legally responsible for your bill from the time you receive services from the hospital. We require all patient balances be paid in full immediately after you are notified.

Will you bill my insurance company for me?
Yes, as a courtesy we will bill your insurance company. It is your responsibility to provide any requested information to your insurance company (accident information, claim forms).

How will I know if my insurance company has paid my bill?
The insurance company may send an explanation of benefits (EOB) after your claim has been processed. The explanation of benefits lists the amount Berger Health System billed the insurance company and the amount the insurance company paid on the claim. It may also list the contractual discount amount and the patient responsibility. If your claim is denied, the explanation of benefits will explain the reason for denial. If there is a balance due from you after the insurance company has paid its portion, we will send you a statement. This statement indicates the amount that has been paid and any balance you are required to pay. This is your bill. You are required to pay this bill in full.

Why do I need to call the insurance company if they do not pay the bill?
You are ultimately responsible for the total bill or any portion of the bill your insurance carrier does not pay. Patient Accounts will make every effort to resolve the account balance with your insurance carrier. Occasionally, we will be unable to resolve the issue with your carrier and will need your assistance.

How do I follow up with my insurance company?
Before you call, have available your insurance card, date of service, facility name, original billed amount, patient name, and claim number if applicable. Ask your insurance the status of your claim. If paid, ask when and to whom. Note this information and with whom you spoke at the insurance company. If the bill has not been paid, find out when the anticipated payment date is and ask if they need anything from you. If the bill is not paid in the stated timeframe, follow-up with the insurance company again, and, if necessary, request to speak to a supervisor.

Why did my insurance company only pay part of my bill?
Most insurance plans require you to pay a deductible and/or co-insurance. In addition, you could be responsible for noncovered services. Please contact your insurance company for specific answers to your questions.

What do I do if I disagree with how much my insurance company has paid on my bill?
If you disagree with the insurance company's payment amount, contact the insurance company and ask them to review how the claim was processed. If the insurance company finds that an error was made, note the information and with whom you talked to at the insurance company. Request an anticipated payment date and ask if they need anything from you. If the insurance company feels that the bill was paid correctly and you still disagree, find out from the insurance company what you need to do to file an "appeal" with them. Filing an appeal will not guarantee that the insurance company will pay more on your bill, but the claim will be reviewed for reconsideration.

The insurance listed on my bill isn't the right one. How can I change it?
First, check to see if the insurance company that you had on that date matches the date of service on the bill. If it is the wrong insurance company, a Patient Account Representative can help you Monday through Friday, 8:00 a.m. - 5:00 p.m. at (740). 420-8020 or e-mail us at pfssupport@bergerhealth.com.

What if I get more than one bill?
If you receive several bills from Berger Health System:
- You may have had more than one visit to Berger Health System. You will receive a bill for each of those services.
- If you receive bills from Berger Health System and other providers for the same date of service: Doctors, anesthesiologists, and radiologists bill separately for the services they provide. If you have questions about a bill, please call the phone number listed on the bill.

Why did I get a bill from Berger Health System if I was never there?
Doctors and other health-care providers often send lab work to Berger Health System for processing.

How can I pay my patient balance?
We offer several payment options:
- You may choose to use your MasterCard, Visa, American Express, or Discover Card. If you have further questions or cannot pay the balance immediately, please call a Financial Services Representative at (740) 420-8020.
- You may pay by cash, check, or money order. Make the check or money order payable to Berger Health System and be sure to include your account number. Mail to:
  Berger Health System
  600 North Pickaway Street
  Circleville, Ohio 43113
- Or visit our office at:
  Patient Financial Services
  1180 North Court Street
  Circleville, Ohio 43113

Would I be able to get on a payment plan if I can't afford to pay my bill all at once?
Berger Health System will work with you to set up a payment plan. Financial Services Representatives are on hand to help you Monday through Friday, 8:00 a.m. - 5:00 p.m. at (740) 420-8020 or e-mail us at pfssupport@bergerhealth.com.

I do not have health insurance. What should I do?
Refer to all of the options listed under "Financial Assistance" on our Web page.

I can't afford to pay my balance. What can I do?
Refer to all of the options listed under "Financial Assistance" on our Web page.

I received a letter stating that my account has been referred to a collection agency or collection attorney. How can I settle this issue?
If your account has been sent to a collection agency or attorney, please contact the collection agency or attorney handling the account to arrange payment. Berger Health System refers accounts for collection only as a last resort.