Patient Billing

Thank you for allowing us to take great care of you or your family member. We want to ensure your satisfaction at every step in this process.

To pay your bill or ask questions, please call 1-888-987-7983 or log in to our Patient Service Portal.

Your Rights and Protections Against Surprise Medical Bills

 

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or free-standing emergency department, you are protected from balance billing.  Learn more.

Frequently Asked Questions

Who is American Physician Partners? 

Your hospital has chosen to partner with American Physician Partners to provide physician management services for its emergency department, inpatient management, or intensive care unit program. We are a patient-centered, physician-centric organization whose mission is to support our physicians and hospital partners in providing safe, compassionate, and efficient care to every patient, every time. 

We recognize that the healthcare billing process can be confusing and cumbersome, and we hope to address some of your questions in advance by addressing frequently asked questions below. 

 

How is my bill processed? 

We recognize that the healthcare billing process can be confusing and cumbersome, and we hope to address some of your questions in advance. American Physician Partners’ billing company, R1, will submit your medical claim from your hospital visit to your insurance carrier. Your insurance carrier will then process your claim based on your benefits to determine: 

– If there is a discount percent (contractual adjustment)
– How much will be paid by the insurance carrier
– How much will be paid by you, the patient, based on co-insurance, deductible, or co-payment. 

 

Can you provide an example?

Below is an example of how your insurance carrier may process your claim:

$500.00 charges from the physician component
$200.00 minus contractual adjustments from insurance 
$300.00 Amount Due*

*Based on your medical payments to date, if you have already met your deductible, your insurance company would pay the entire $500.00. If you have not yet met your annual deductible, you may have to pay some or all of the amount due—this is what is referred to as “patient responsibility” – and you’ll receive a bill from APP for that appropriate amount. 

 

Isn’t that referred to as “Balance Billing”? 

No, in the above example, APP is billing you the for the “patient responsibility” portion of the bill not paid by your insurance company because you have not yet met your deductible, or you have a co-insurance plan. Balanced billing in the above example would be if the insurance company paid $0 of the billing and APP billed the patient the full f$500 without applying the discount. American Physician Partners does not balance bill patients. 

 

What if I don’t have insurance? 

If you do not have insurance, or if your insurance carrier determines there is an amount to be paid by the patient, R1 will send you a bill. 

 

What if I have Medicare or Medicaid? 

If you have Medicare or Medicaid, they will be billed first. If there is a co-payment, we will send you a statement with the details. 

 

Why did I receive more than one bill for my hospital visit?

American Physician Partners is a separate entity from your hospital. If you made a visit to the emergency room, for example, you’ll likely receive two bills: one from the hospital for hospital-associated fees, and one from American Physician Partners for the physician, physician assistant, or nurse practitioner care you received. In some instances, you may also receive bills for other services rendered by other physician groups, such as radiology for imaging services, anesthesiology, etc. 

 

What if my information has changed since my hospital visit? 

APP obtains your demographic and insurance information from the hospital where services were rendered. If you need to update your personal or insurance information, please call APP’s billing company at 888-987-7983 or update your information in our Patient Portal. 

 

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