Billing & Insurance Frequently Asked Questions
General Billing Questions
If you receive services at a hospital (also referred to as a medical center) or at an outpatient clinic or other location that is clinically integrated into the hospital, you will receive a bill for “facility fees” for the services, in addition to a bill for any professional fees for the services. In some cases, you may also receive a separate bill for laboratory services. Facility fees are charged for hospital stays, some clinic visits, and services from hospital outpatient departments such as X-rays, lab tests and therapies. Clinics located miles away from a main hospital campus may still be considered part of the hospital. Sometimes patients will pay more for certain outpatient services and procedures at hospital departments or clinics. The amount will depend on their insurance. Patients should review their insurance benefits or contact their insurer to learn what their policy will pay and what out-of-pocket expenses they may need to pay.
Call us right away if your insurance information has changed since you last registered as a patient, or if you believe your claim may have been denied because of missing or incorrect billing or other personal information. We will update your account information and/or re-bill your health coverage with your new information. Have your account number ready when you call. NWH Patient Financial Services 206.668.6440 or 877.364.6440 (toll free) Monday – Friday: 8:00 am – 4:30 pm
All patient responsibility balances are due and payable 30 days from the date you receive your statement. If you are unable to pay your bill contact the NWH Patient Financial Services team at 206.668.6440 or toll free 877.364.6440 to discuss payment options or financial assistance.
Charges which may not be paid by your insurance and may then become your responsibility include:
- Co-insurance and/or co-pays
- Benefit limitations, i.e. items or services not covered under your insurance plan
- Medicare program exclusions (see your Medicare handbook for a complete listing).
- Check your explanation of benefits and/or contact your insurance company with your specific questions.
Insurance claims may also be denied because of missing or incorrect subscriber information on the claim. If you believe your claim was denied for this reason, please call us immediately. We will update your account and/or re-bill your insurance.
Have your explanation of benefits in hand when you call.
For additional information required by your medical savings or health-care reimbursement account, please call the NWH Patient Financial Services team at 206.668.6440 or toll free 877.364.6440 for an itemized bill.
Contact Patient Financial Services at 206.668.6440 or 877.364.6440 (toll-free) during the hours of 8:00 a.m. – 4:30 p.m., Monday – Friday.
Facility Bill FAQ
A facility fee is charged for services given in a hospital-based outpatient clinic or location. This is a standard model for large healthcare systems like UW Medicine. Billing rules are different for hospital-based clinics than for clinics that are not part of a hospital.
Under this model, a patient bill is split. One bill is for the facility, which will come from the hospital. The other bill will come from the physicians or other healthcare professionals who treat you.
Sometimes patients will pay more for certain outpatient services and procedures at hospital-based outpatient locations. The amount will depend on their insurance. Patients should review their insurance benefits or contact their insurer to learn what their policy will pay and what out-of-pocket expenses they may need to pay.
You may have to pay a co-payment at the time of your visit. The co-pay amount will depend on the services received during your visit and your insurance plan.
You may also have a separate Out Patient deductible. Please check with your insurance plan for more information.
Give the clinic your primary and secondary insurance information. If we have complete information, we can bill both insurances right away. This will make it easy for you to manage your bills.
You may call the NWH Quote Line at 206-668-1719. You may also call the NWH Financial Counselors at 206.668.6565 Monday – Friday, 8:00 a.m. – 4:30 p.m.
For more information on your facility bill, call NW Hospital Financial Services Office at 206.668.6440 or 877.364.6440 toll free, Monday – Friday, 8:00 a.m. – 4:30 p.m.