| Billing Information
The Patient Financial Services Department at Mayo Regional Hospital works with other departments within the hospital to obtain the information needed by your insurance company. This results in timely processing and/or payment of your bill.
The information on this site is designed to inform patients about their responsibility to provide Mayo with the most accurate information possible.
Contact us directly with your questions and concerns
564-4302 - Medicare and Blue Cross supplement
564-4306 - Collections, self-pay and payment arrangements
564-4389 - Workers comp, auto accident, VA and Prison Health Services
564-4301 - All miscellaneous calls
564-4309 - Anthem Blue Cross and MaineCare
564-4303 - Commercial insurances such as Aetna, Patient Advocates, United Healthcare, Tricare, Champva, etc.
Helpful things to remember when visiting the hospital
- Bring in your insurance card each time you come to the
hospital. Every visit is a new account number and a new service.
- If any information about you has changed, such as an address or phone, please let us know. Incorrect information leads to the delay of your claim payment.
- Keep in mind that Mayo cannot bill two federally funded programs, such as Veterans Administration and Medicare, at the same time. The patient must choose between the two.
- Mayo Physician Billing is responsible for the billing of services provided by Mayo Practice Associates physicians and mid-level providers employed by the hospital in doctors’ offices. Their billing address is 72 Union Square, Dover-Foxcroft, ME 04426. Telephone is 564-8724.
- Know your insurance policy. We post the payments as they come to us. If you have an issue with a deductible or co-payment, please contact your insurance carrier directly, because Mayo does not know the details of individual policies.
- There are many reasons that your insurance company may delay processing your claim. Please keep in mind that you may not receive your co-payment/deductible billing statement for several months.
Road map of the billing process:
Patient comes to the hospital
Charges for services are applied to account
Diagnosis supplied by the doctor is put on bill
Bill sent to insurance carrier or provider
Balance, if applicable, sent to patient
Commonly asked questions and their answers
Q: Where do I go to pay my bill?
A: Our office is located in the hospital Resource Center. We are at the end of the hallway, beyond Physical Therapy and Workwise. There is a separate outside entrance near the driveway leading to Dwelley Avenue.
Q: What is a patient account?
A: A patient account is generated when a patient receives either outpatient, inpatient or emergency services in a hospital setting.
Q: Why do I have two bills for my x-ray services?
A: One is from the hospital and one is from the company that bills for reading the image (Spectrum Radiology).
Q: What is Medicare?
A: Medicare is a federal health insurance program for people 65 or older and certain disabled people. Medicare part A pertains to inpatient services, and part B to outpatient services.
Q: What is MaineCare (Medicaid)?
A: MaineCare has different benefit packages from full benefits to prescription drug discounts, depending on age, disability, income (and assets, in most cases). To inquire about MaineCare, contact the nearest office of the state Department of Human Services.
Glossary of commonly used terms
Claim - a bill that is sent to the insurance company.
Co-pay - a fixed amount that is paid directly by the patient at the time of the visit.
Deductible - a fixed amount of money that the patient must pay before the insurance company will begin to reimburse for services.
EOB (Explanation of Benefits) - statement from the insurance company explaining how benefits were applied to accounts.
Pre-authorization - Permission granted by insurance company for certain services to be covered. This request is made by your doctor in most cases before services are rendered. Review your policy to see if this applies to you.
Referral - Request for additional care, usually of specialty nature, made by your Primary Care Provider. (Example: Physical Therapy)
Primary Care Provider (PCP) - your family doctor. Mid-level providers (Nurse Practitioners, Physician Assistants) are not considered PCPs for insurance purposes.
The following Web site links provide helpful information for beneficiaries and insured members.
Some Web sites, such as anthem.com, allow members to monitor their claims through a secured access.
Links to healthcare Web sites:
www.ahsmedicare.com (for Medicare beneficiaries)
www.Aetna.com
www.anthem.com (Maine Blue Cross)
www.myCIGNA.com
www.martinspoint.org
www.myTricare.com
www.va.gov/hac/forbeneficiaries (for Champva beneficiaries)
|