A: Dallas Regional Medical Center will file claims on all accounts in which there is complete insurance information (insurance name, address, policy number, group number, etc.). Bills are generally submitted to the primary insurance company within 7 days from your visit. If you have a secondary insurance company, a claim will be submitted to the secondary insurance company after the primary insurance company has paid.
A: On average, an insurance company will process a claim within 45 days. At times you may need to contact the insurance company to assist and expedite this process.
A: Most insurance plans require that you pay a co-payment, coinsurance, and/or a deductible for your health care expenses. Your bill may include charges that you are responsible to pay, such as non-covered items or out-of pocket expenses. Contact your insurance company for specific information pertaining to your coverage.
A: If you have a PPO policy or an individual policy, you are ultimately responsible for the total biIl or any portion of the bill your insurance plan does not pay. Dallas Regional Medical Center will make every effort to collect payment on the account from your insurance company, but we may need your assistance to resolve any concerns.
A: When your insurance company processes your claim you should receive an explanation of benefits (EOB) in the mail. The EOB will contain payment information and the amount due from the patient. Contact your insurance company with questions about the status of a claim or how the claim was processed.
A: If you have an HMO policy, you should only be billed for the amount specified on your explanation of benefits (EOB) that is provided to you by your insurance carrier. This usually includes co-pay amounts.