Registration and Billing FAQs
At Highlands Regional Medical Center, it is our mission to Deliver America's Best Local Health Care. Consistent with fulfilling that mission, we take a positive and proactive approach to patient billing and collections.
At Highlands Regional Medical Center, it is our mission to Deliver America’s Best Local Health Care. Consistent with fulfilling that mission, we take a positive and proactive approach to patient billing and collections. Our goal is to coordinate payment for services in the most efficient, timely and customer-oriented manner possible. We understand that the billing and collection process can be confusing. In order to assist you in understanding these services and to answer any questions you might have, please review the following.
How can I help reduce the wait time at the hospital?
Why do I have to show my ID each time I visit the hospital?
Why do I need to bring my insurance card to each visit?
Why do I have to answer the same questions each time I am registered?
Why am I asked to pay my co-payment and deductible on the day of service?
How may I pay?
Do I need a referral?
What are my responsibilities for Outpatient Testing/Surgery?
You will also be asked for a pre-surgical deposit, the amount of which depends on your coverage and deductible amount. A cost estimate which shows your financial responsibility, based on the benefit levels and coverage of your insurance plan, will be explained by a staff member.
What if my child needs Outpatient Surgery?
Who can I speak to if I have questions or comments?
For hospital services prior to November 1, 2017, please call (866) 481-2553 to inquire about your bill. Our hours are Mondays through Friday from 8:00am to 5:00pm.
For hospital services after November 1, 2017, please call (800) 617-7048 to inquire about your bill, or pay your bill online. Our hours are 8:00am to 5:30pm.
For your privacy, we need verbal or written authorization from you, the patient, if someone other than you is requesting information on your account.
What does "Provider-Based" designation mean?
- Beneficiary: A person who receives benefits of any insurance plan or policy.
- Claim: A request for payment for services submitted by the provider.
- Coinsurance: A specified percentage of covered expenses which the insurance carrier requires the beneficiary to pay toward eligible medical bills.
- Co-pay or Co-payment: A specific set dollar amount contracted between the insurance company and the beneficiary to be paid prior to any services rendered.
- Covered Services: Services for which an insurance policy will pay.
- Deductible: A specified dollar amount of medical expenses which the beneficiary must pay before an insurance policy will pay.
- Explanation of Benefits (EOB): A statement from an insurance company showing the processing of a claim.
- Medically Necessary: Treatments or services that insurance policies will pay for as defined in the contract.
- Non-Covered Services: Services for which an insurance policy will not provide payment. These services are to be paid by the patient at the time of service.
- Pre-Certification/Authorization: A service-specific requirement that your insurance company’s approval be obtained before a medical service is provided.
- Provider: A person or organization that provides medical services.