We are pleased that you and your physician have chosen our facility.
Our goal is to make your registration as smooth as possible. To assist in this registration, please complete the pre-registration process at least 24 hours before your scheduled arrival.
Please contact your insurance company before your hospital visit to meet any pre-authorization requirements. If these requirements are not met, your benefits may be reduced, leaving you responsible for paying most or all of your hospital expenses. Patients covered by Medicare will also need to complete the Medicare Secondary Payer Questionnaire.
Our insurance verification services team can help you through this process.
Unexpected medical expenses can be a financial burden. Do you think you may have difficulty paying your bill? WE CAN HELP!
Financial assistance options are available.
Patients coming to the hospital for surgical procedures must go through the pre-surgical screening process, which includes pre-operative health history, educational instruction on the procedure to be done and more. This process is in place to ensure each surgical patient is given safe and quality patient care.
What type of forms should I expect to sign?
Upon arrival, you will be asked to sign Consent to Treatment form. This allows the hospital to provide the following services:
- Your care
- Bill your insurance
- Ensure you have been notified of your right to privacy
- Assignment of insurance benefits
- Financial agreement
- Provides an authorization of release of information
- Depending on your type of insurance (Medicare or Tricare) you may also be asked to sign an additional form. Based on your treatment or procedure you may be asked to sign additional forms
Why do you need this information?
Your registration information provides us with demographic, financial information and emergency contact information. Registration information is the starting point of the medical record.
What is a Medicare Secondary Questionnaire?
A questionnaire designed to assist the hospital in determining who should be the primary payer of your account in order for the bill to be sent to the correct insurance payer to avoid delays.
For additional information access the Medicare website.
Do I need to bring my insurance card with me?
Yes, bring your most current insurance card and a photo ID with you. We have found that requesting your insurance information each time you register is the best way to ensure an accurate billing of your insurance company.
Once this information is entered into our system, the billing is automatically sent electronically (paperless) to your insurance company. We must send accurate and updated information to avoid rejections or long delays in payment. Once your insurance company has processed your claim, a bill will be sent to you for any portion of the account balance that is your responsibility.
Many people have questions about the registration process. We have documented the most frequently asked questions. If you have questions that are not addressed here, please call us at 402.552.3251 or toll-free 800.552.8802.
We explain how to get a copy of your medical records.