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Memorial Home Services Billing Information Billing Information

Memorial Home Services is committed to providing quality health care and service to all patients. In order to continue in this mission, it is essential that payment be received for services provided.

As a courtesy to patients and their families, Memorial Home Services submits claims to any insurance company according to the guidelines below. To do this efficiently, it is important that insurance information be presented at the time of admission or service.

While itemized claims are submitted to the Insurance or Third Party carriers for all covered charges, patients will be billed for balances remaining after Insurance determination. Patients will receive a monthly statement for any outstanding balances.

Patient Responsibilities

Prior Authorization

An increasing number of HMO insurance carriers, in addition to the Illinois Department of Public Aid, now require authorization prior to covering medical services. Many of these plans require either the admitting physician or the policy holder to initiate the prior authorization procedure.

If your insurance has such a requirement, please inform your physician or contact your insurance carrier. Failure to meet your insurance requirements may result in partial or complete denial of insurance benefits, leaving you financially responsible.

Payment Responsibility

An anticipated insurance payment does not replace the patient's obligation to pay any outstanding balance. In certain situations, if insurance payment is particularly slow, Memorial Home Services reserves the right to expect payment directly from the patient or responsible party.

Insurance Billing Guidelines

Medicare

Memorial Home Services is a Medicare provider. The Customer Service Department will verify Medicare coverage prior to service whenever possible or the next working day in the case of weekends or holidays. Patients should be aware that they often must meet specific medical necessity criteria in order to have services covered by Medicare. Additionally, when secondary insurance policy information is presented at the time of admission, the Billing Department will submit one supplemental insurance claim for any deductibles or coinsurance balances remaining after Medicare.

This supplemental billing can only be completed after Medicare payment has been received and will not be done by Memorial Home Services unless complete and accurate information is received at the time of Service.

Medicaid

Medicaid billings are submitted on behalf of the patient. Medicaid eligibility will be verified by the Customer Service Department within 24 hours of service or the next working day in the case of weekends or holidays. Patients should be aware that most medical services are subject to review for medical necessity by the Illinois Department of Public Aid. Possession of an IDPA Medical Card is not a guarantee of coverage.

Other Insurance

Memorial Home Services will bill up to two insurance companies if presented with insurance information and an assignment of benefits at the time of service. Benefits will be verified prior to service whenever possible or the next working day in the case of weekends or holidays.

Liability Services

If you receive services as a result of a vehicle accident or public liability, Memorial Home Services will hold you personally responsible for your medical bills for any disputed cases. Since such cases may require many months to resolve, Memorial Home Services cannot wait for final decisions.

Worker’s Compensation

Memorial Home Services will bill directly to the worker’s compensation insurance carrier when the employer has accepted responsibility for the injury, or while the case is under review by the State Commission.

When the Patient Owes a Balance

It is expected that all guarantors make "good faith" efforts to pay any balance due Memorial Home Services. The Billing Department will work with you to establish a reasonable settlement of all balances that are the guarantor's responsibility.

An account is considered delinquent when:

  • No payments have been made within 30 days of receipt of our invoice/statement.
  • There is no response to our phone calls and/or letters, requesting payment.
  • A requested "Financial Assistance Application" form is not completed.
  • Terms of established Memorial Home Services arrangements are not met.

Disputed balances will be subject to review by the Billing Department before further collection efforts are pursued by Memorial Home Services. In those cases where the Billing Department has exhausted all reasonable efforts to collect the balances due Memorial Home Services, the account will be referred to an attorney for legal action or to a state-licensed agency for follow-up and collection.

All patients will be given one final notice and a grace period of ten working days to forward any required payment amount, prior to collection proceedings.

Memorial Home Services has full-time personnel available to assist the guarantor in establishing financial arrangements which best meet the needs of the patient and Memorial Home Services.

To assist the guarantor in meeting his/her obligations, Memorial provides the following options:

Credit Cards

Memorial Home Services accepts credit and debit cards. Memorial Home Services will honor MasterCard, Discover or Visa for payment on accounts. These payments will be accepted by phone, in person, or by mail

Product Pricing Information

Memorial Home Services will provide complete Product Pricing information to any patient or guarantor to assist them in attempting to secure any alternative Financial Aid available through Federal, State or Local agencies.

Payment Options

Memorial Home Services has established the following guidelines for payment of guarantor balances:

Guarantor Balance Maximum Term (From date of service) Minimum Monthly Payment $100 or less 2 months 1/2 $101.00 to $999.00 6 months 1/6 $1,000 or more 12 months 1/12

Charity Care

Memorial Home Services recognizes that there are occasions when a patient will not be able to pay a medical bill. Obtaining care at Memorial Home Services is not dependent on one's ability to pay; however, Memorial Home Services expects the patient to provide complete documentation in order to be considered for charity or "free" care.

The patient or responsible party must provide the following information in order for Memorial Home Services to determine the appropriate amount of charity care to be applied to the patient's account:

  • Financial Assistance Application
  • Proof of income for last three months
  • Copy of latest federal income tax return

Consideration for Charity Care is based on the patient's and/or guarantor's financial status in comparison with the Community Services Administration Poverty Income Guidelines.

After the application has been reviewed and a determination has been made, the patients will be notified in writing.

For more information on Charity Care or to request an application, please contact Memorial Home Service's Billing Department at 217-788-4663 or 800-582-8667.

Contact Information

Billing Department Office
8:00 a.m. – 4:30 p.m. Monday-Friday
217-788-4663
800-582-8667

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