Insurance Frequently Asked Questions
Will Dallas Regional Medical Center send my hospital bill to my insurance company?
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 seven 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.
How long will it take my insurance company to pay their portion of the bill?
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
Why did my insurance pay only a part of my bill?
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.
Why do I need to call the insurance company if they do not pay the bill?
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.
How can I find out if my insurance has paid or how much they have paid?
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
If I have an HMO policy, can I be billed if they do not pay?
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.