Patient Financial Services

Call a Financial Counselor

Need billing assistance?

Call a Financial Counselor.

740.251.6400 or 1.855.978.5839

Billing Information

Pre-Certification

Many insurance companies now require you and/or your physician to obtain pre-certification. Patients who lack pre-certification will be admitted; however, they will be held directly responsible for all medical expenses incurred during their hospitalization. If you believe your insurance requires pre-certification, please be sure the necessary contacts are made before your scheduled admission.

Our Pre-Certification Department staff members will call insurance companies for all observation patients and admitted patients to verify eligibility and benefits within 24 hours of the patients’ arrival. Our nurses are also careful to meet all insurance requirements for pre-certification as well as continued stay reviews. For pre-certification notifications or questions about pre-certification, please call 740.393.9626.

About Your Bill

Your bill will include two basic types of charges—routine daily charges for nursing care, meals and housekeeping, and medical charges for other services.

Any fees for services including the Emergency Department physician, pathologist or Knox Community Hospital Department of Primary or Specialty Care will be billed separately. Your doctors’ fees will not be included in your bill from Knox Community Hospital.

Financial Arrangements

Arrangements to pay for your hospital stay should be made before, or at the time of, your admission.

If you anticipate that you will have difficulty paying your bill, please contact our Business Office at 740.251.6400 or 1.855.978.5839 as soon as possible.

One of our financial counselors will help you choose a financial plan that will best suit your situation. If you believe you might qualify for charity assistance, please notify the Business Office immediately.

Patient bill
Contact

Cashier’s Office

The Cashier’s Office is located on the 1st floor in the hospital and is open from 8:30 AM to 5 PM. Payments can be made in the cashier’s office by cash, check, or credit/debit card. We accept VISA, Discover, MasterCard, American Express and PayPal.

Patient Financial Services Representatives

Patient Financial Services representatives are available to assist by phone at 740.251.6400 or 1.855.978.5839.

Telephone services are available:

  • Monday, Wednesday, Friday from 8:30 AM to 5 PM
  • Tuesday, Thursday from 8 AM - 7 PM
  • Saturday from 8 AM - 11 PM

Payment can be made over the phone and online using a credit/debit card. We accept VISA, Discover, MasterCard, American Express and PayPal.

In-Network Insurance Coverage

Knox Community Hospital (KCH), other hospital departments and services are in-network providers with the following insurance carriers. If you do not see your insurance listed or for KDIC, Home Health and Ophthalmology in-network providers please call 740.393.9630.

FAQs
Why do I need to show my insurance card every time I come to the hospital?

Insurance information and coverage changes so frequently that reviewing your card at each visit allows us to ensure that we have your most current insurance information for proper billing.

What information does the hospital use to post payments to my accounts?

Insurance companies provide the hospital with the same explanation of benefits that they provide to the policy holder. The documents we receive determine how the payment is applied to the accounts.

Contact

Any questions regarding the posting of payments should be directed to your insurance company.

If I do not agree with the way my claim was processed by insurance, what should I do?

The first step would be to contact either your benefit representative at your place of employment or your insurance company. If your claim needs to be resubmitted please contact a Patient Account Representative at 740.251.6400 or 1.855.978.5839.

If I cannot pay my bill, what can I do?

At Knox Community Hospital, we understand that dealing with unexpected medical bills can be difficult; which is why we are here to help. Together we can see if you are eligible for one of our financial assistance programs.

Contact

Please visit our Financial Counseling office located outside the lab in Central Registration, or call a Financial Counselor Representative at 740.393.9639, 740.393.9018 or 740.399.3831 for an application or click on the link below.

Is my insurance considered in network with Knox Community Hospital?

Knox Community Hospital is considered in-network with the following insurance companies:

  • Aetna
  • Anthem
  • Buckeye
  • Bureau of Workers Comp (BWC)
  • CareSource
  • Cigna
  • EBMC
  • Emerald Health Network (Healthsmart_Simone)
  • GreatWest Healthcare/Cigna
  • Regence Blue Cross Blue Shield/Jeld Wen
  • Med Ben
  • Medica
  • Medicaid
  • Medicare
  • Medicare Advantage: Aetna, MediGold, United HealthCare
  • Medical Mutual of Ohio
  • Molina
  • Multiplan PPO
  • Ohio Health Choice
  • Ohio Health Group
  • Paramount Health Care
  • Tricare Prime
  • United HealthCare

Contact

If you believe your insurance is in-network but not on this list, please contact your insurance company for confirmation.

Currently Knox Community Hospital is not contracted with any Medicare Advantage plans. However, some services and plans are covered at Knox Community Hospital.

Please contact a financial counselor for more information at 740.393.9639, 740.393.9018 or 740.399.3831.

What bills might I receive when I visit Knox Community Hospital?

Please note that you may receive a separate bill from the providers office and/or Knox Diagnostic Imaging.

Additional Statements

In addition you may receive statements from:

Riverside Radiology | 866.863.6739

EMBCC | 888.703.3301 or 855.274.8015

OSU (The Ohio State University) Pathology Labs | 614.293.2100

Contact

Just because the hospital is considered in-network, does not mean that these related services are also. Any questions related to coverage should be routed to your insurance company.

How can I get a price quote for services?

An estimated price quote for services can be obtained by calling 740.393.9639, 740.393.9018 or 740.399.3831. Estimates will be based upon the information you provide. The final bill is determined by the actual services provided.

Assistance

Please call the following numbers for assistance:

General Billing and Payment Questions | 740.251.6400 or 855.978.5839

Financial Counseling / Price Quotes | 740.393.9639, 740.393.9018 or 740.399.3831

Having issues paying your bill online?

Click below for a Brief Survey review of the Online Bill Pay System.

Affordable Care Act

On January 1, 2014, the Affordable Care Act became law. What does this mean for you? As of January 1, 2014, when you, the patient, present to a Physician Office and/or Knox Community Hospital for a visit and/or procedure, you will be asked for your insurance information at the time of initial registration. If you indicate that you do not currently have medical insurance, you will be directed to visit www.healthcare.gov, the health insurance marketplace created under the Affordable Care Act.

The Affordable Care Act requires that all Americans apply for health insurance coverage or be subject to a financial penalty. If you choose to pay the penalty rather than apply for health coverage, neither Knox Community Hospital nor it’s medical providers can consider you eligible for financial assistance. When you visit the health insurance marketplace at www.healthcare.gov, you will have the opportunity to apply for a health insurance option that is right for you. It is important to ensure that Knox Community Hospital is a provider for the network plan you select.

In some cases, it may be determined that you, the patient, are eligible for Medicaid Coverage, at which time the site will direct you to benefits.ohio.gov, where you can apply for that assistance. Once you, the patient, have obtained the appropriate health coverage for which you are eligible, you may apply for financial assistance through KCH’s Financial Assistance program to cover any coinsurance amounts and other qualifying expenses (out of pocket expenses other than co-pays).

Contact

If you have any questions or need assistance with your health coverage, please contact one of KCH’s Certified Application Specialists, who can help you fulfill these new requirements under the Affordable Care Act, and ensure that you remain eligible for any financial assistance for which you may qualify.

To contact one of Knox Community Hospital’s Certified Application Specialists, please call a Financial Counselor at 740.393.9018, 740.393.9639 or 740.399.3831.

Miranda Bevington
Revenue Cycle Director
740.399.3727