Patient Financial Services

2. an investigation opened to research a specific charge or service to determine if the billing or coding was correctly entered.
7. the percentage a patient pays when the health plan pays less than 100% for covered services.
8. policy mandating all medications are dispensed through an Essentia Health pharmacy during a patients stay at a hospital. Typically encountered by Medicare recipients.
11. includes the physical items of hearing aids, glasses, and contact lenses which are not eligible for ClearBalance.
12. document signed by the patient authorizing their insurance to be billed for services provided and acknowledging patient responsibility for any balance insurance does not pay. Abbr.
13. a set dollar amount a patient pays at the time of receiving specific services.
14. added to a DOS to indicate different situations such as if there were COVID-19 services provided, if there is a pending review, the balance is on a payment plan, etc.
16. determined by history, examination, time, and the nature of the presenting problem among other criteria.

1. emailed whenever an account is accessed for a patient who has passed away.
3. offered to patients without insurance based on eligible facilities, services, and fiscal year.
4. facilities associate with Essentia Health that require patients to contact their site directly for billing questions and payment.
5. hospital account record of a specific visit. Abbr.
6. Resource offered online or through the app which allows patients to see their medications, test results, upcoming appointments and medical bills.
9. report tool used for providing billing details including specific charges and payments.
10. the amount a patient pays each calendar year before the health plan starts to pay for covered services.
15. used to note an account and perform additional actions.