Frequently Asked Questions

  1. What if I have questions on my bill?
  2. Will Jefferson Hospital bill my insurance?
  3. When will my secondary insurance be billed?
  4. What is a PPO (Preferred Provider Organization)?
  5. What is an HMO (Health Maintenance Organization)?
  6. Why was my visit to the Emergency Department so expensive?
  7. What should I do if I continue to receive a bill from the Hospital but my insurance company assures me it has paid the claim?
  8. Why did I receive bills from a radiologist, anesthesiologist and the emergency physician?
  9. My insurance authorized the services, why are you billing me?
  10. How can I make a payment?
  11. What forms of payment do you accept?
  12. Can I pay my bill over the telephone?
  13. Can I make payment arrangements?
  14. Who do I contact for financial assistance if I cannot pay my bill?
  15. Can I receive an itemization of my charges?
  16. I believe that I overpaid my account. How do I get a refund?
  17. Why did my insurance deny the claim:
  18. Must I register each time I come to the hospital?
  19. What is a deductible?
  20. What is a copay or copayment?
  21. What is a coinsurance?
  22. What is a coinsurance?
1. What if I have questions on my bill?
If you have questions about your bill, call (412) 267-6462, Monday – Friday, 8:00 a.m. – 4:30 p.m. Please have the patient’s name, account number listed on the bill ready when you call. You can also e-mail your questions to us at patientinquiry@jeffersonregional.com

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2. Will Jefferson Hospital bill my insurance?
Inpatient Services, Outpatient Services and all Emergency Services will be billed by the Hospital for all insurance companies providing the Hospital has the insurance information on file. It is important that you provide accurate and complete demographic and insurance information at the time of registration. The Hospital submits bills to your insurance company and will do everything possible to advance your claim. However, it may become necessary for you to contact your insurance company or supply additional information to them to expedite payment.
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3. When will my secondary insurance be billed?
After your primary insurance processes their portion of the bill.
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4. What is a PPO (Preferred Provider Organization)?
A health care benefit program that provides coverage for eligible services received both in and out of the program’s provider network. In-network care is provided at a higher benefit level.
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5. What is an HMO (Health Maintenance Organization)?
A health care program that provides coverage only for those eligible services received within the insurance carrier’s provider network. There is no reimbursement for professionals or facilities that do not participate in the network unless it is an emergency.
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6. Why was my visit to the Emergency Department so expensive?
It is our vision that our communities will have confidence that Jefferson Hospital will be available for them in times of need. To do so requires that we staff and stock an emergency department 24 hours a day, everyday, in anticipation of 145 patients daily, or even a regional disaster. On average, someone arrives at the Emergency Department every ten minutes with a range of conditions from sore throats and broken bones to chest pain and accident-related trauma. More than 65% of Jefferson’s 17,000 inpatients annually arrive through the Emergency Department. To be prepared to meet a wide variety of emergent health care needs, we are prepared to receive, diagnose and treat approximately 55,000 patients in the emergency room every year. We believe you should expect to receive superior care and service in your time of emergent need and we are prepared in the event you should ever need us.
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7. What should I do if I continue to receive a bill from the Hospital but my insurance company assures me it has paid the claim?
Check your statement dates to ensure sufficient time has passed between when the payment was made and the bill was issued. After you have reviewed this, then call us at 412-267-6462 to verify that payment was received.
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8. Why did I receive bills from a radiologist, anesthesiologist and the emergency physician?
These bills are for professional services provided by these doctors in diagnosing and interpreting test results while you were a patient. Pathologists, radiologists and emergency room physicians perform these services and submit separate bills. If you have questions about these bills, please call the number printed on the statement you received from them.
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9. My insurance authorized the services, why are you billing me?
The insurance authorization "is not a guarantee of payment". For questions relating to your insurance coverage, we suggest that you contact your insurance company.
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10. How can I make a payment?
Option 1: Mail payment to:
Jefferson Hospital
P.O. Box 643054
Pittsburgh, PA 15264

Option 2: Pay in person:
Jefferson Hospital
565 Coal Valley Road
Jefferson Hills, PA 15025

Option 3: Pay online:
Follow the instructions on this site to pay your bill online
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11. What forms of payment do you accept?
Cash, check, credit card (MasterCard, Visa, Discover).
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12. Can I pay my bill over the telephone?
Yes, we accept credit card payments over the phone. Please call us at (412) 267-6462.
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13. Can I make payment arrangements?
Yes, please contact our business office during the hours of 8:00 a.m. – 4:30 p.m. at (412) 267-6462 to discuss reasonable payment arrangements.
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14. Who do I contact for financial assistance if I cannot pay my bill?
Call (412) 267-6462. We can assist you in several ways: we have financial counselors who will assist you with applying for Medicaid or will give you advice on how to proceed. If you do not qualify for any type of Government programs, we can review your financial status to see if you qualify for our Jefferson Hospital Health Concern Program.
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15. Can I receive an itemization of my charges?
Yes, call us during business hours (8:00 a.m. – 4:30 p.m.) at (412) 267-6462 or send an email request to patientinquiry@jeffersonregional.com

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16. I believe that I overpaid my account. How do I get a refund?
Please contact our office during the hours of 8:00 a.m. – 4:30 p.m. at (412) 267-6462. We will review your account(s). If you are due a refund, we will process it promptly.
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17. Why did my insurance deny the claim:
One or more of the following may apply: The service you received was not covered under your plan. You may not have provided the correct insurance information at the time of service. The service you received was from a physician outside your plan’s network. You were not covered by your plan at time of service. Your primary care physician did not process a referral for the services or an authorization was not obtained prior to the services being rendered. You may call the Customer Service Department of your insurance company for a more definitive answer on the reason for denial.
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18. Must I register each time I come to the hospital?
Yes, information gathered from patient registration is stored in our computer system. We retrieve this information each time the patient returns for services and we ask the patient to verify that the information is current and accurate. Medicare requires that specific questions be asked to determine whether Medicare or another payor is primary. Your assistance in verifying the information is always appreciated. Information may be obtained prior to the service, eliminating a stop at the registration office.
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19. What is a deductible?
A specified dollar amount a group member must pay for covered services each benefit period before the insurer will make any benefit payments.
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20. What is a copay or copayment?
Type of cost sharing where insured or covered persons pay a specified flat amount per unit of service or unit of time (e.g., $10.00 per visit, $25.00 per inpatient hospital day, $10.00 per brand prescription drug). Copayment is incurred at the time a service is used and the amount does not vary with the cost of a service.
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21. What is a coinsurance?
An arrangement under which the insured person pays a fixed percentage of the cost of medical care. For example, an insurance plan might pay 80 percent of the “allowable charge”, with the insured individual being responsible for the remaining 20 percent.
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22. What is a coinsurance?
An arrangement under which the insured person pays a fixed percentage of the cost of medical care. For example, an insurance plan might pay 80 percent of the “allowable charge”, with the insured individual being responsible for the remaining 20 percent.
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