How to Bill Medical Insurance for Dental Procedures?

Medical insurance and billing

Do you find the billing process for medical services confusing?

We explain it below. The first thing to find out is if you have health insurance. The amount of your bill will depend on whether you have contracted any medical insurance and the coverage contracted in your policy.

Our billing process

Patients WITH medical insurance

Step 1

We send your insurance company a request based on the information you gave us at the time you showed up at an OHSU facility. You must make the corresponding copay at the time of going to an appointment.

What you can do to speed up the process

  • When you arrive at the center, give all your personal information associated with health insurance.
  • Please let us know if any of your personal or health insurance information has changed since your last visit.
  • Make sure you know all the benefits and coverage of your health insurance. Before you go to an OHSU facility, check both the validity of your benefits and the requirements for coverage with your insurance company.

Step 2

We wait until we receive payment from your insurance company. If we do not receive such payment within a reasonable period (30 days), we may ask you to intervene.

What you can do to speed up the process

  • If your insurance company does not send you an Explanation of Benefits (EOB) within 30 days, contact your insurance company to find out the status of your request for service or reimbursement.
  • Your insurance company may ask you for additional information about the services provided. If so, please promptly tell us the information you provided to the insurance company so we can update our records.

Step 3

Once your insurer has made the payment, you are expected to pay the amount due to you. If you do not pay this amount on time, you may receive up to three pending payment notices and three telephone calls.

What you can do to speed up the process

  • Pay your bill as soon as you receive a pending payment notice.
  • If you have any questions about a settlement or bill, call Customer Service toll-free at 866-617-6855.
  • Save the extracts for any possible future reference. The statements can be useful when reviewing the settlements for services provided that your insurance company sends you.
  • If you cannot pay the outstanding amount, please contact us. We will discuss with you alternative payment methods or financial assistance programs that best suit your personal circumstances. You can also check the information and conditions for applying for financial aid online.

Patients WITHOUT health insurance

If you do not have health insurance, we will bill you for any amounts not paid at the time you receive services at OHSU facilities.

Financial assistance

  • If you qualify to apply for medical assistance at the state or federal level, contact the OHSU Medicaid and Financial Services Department at 503-494-1671.
  • If you can’t pay the full amount of your bill, call us at 503-494-8047 or 866-617-6855 (toll-free). We will tell you if you qualify for any of the financial aid programs and payment methods that we offer.

How to interpret and pay OHSU bills

This guide contains a sample OHSU bill that explains what each item means and how to interpret the bill correctly.  

We offer many ways to pay your OHSU bills:

How to pay your bill

We offer many ways to pay your OHSU bills:

  • Third-Party Online Payment:
  • Online Patient Portal:  OHSU MyChart System
  • Phone: 503-494-8047 or 866-617-6855 (toll free)
  • By mail to the following address: 

Types of bills you can receive

Hospital services and medical services are billed together on the same bill.

  • OHSU hospital and clinic service charges are for hospital stays or clinic visits.
  • Included in your doctor’s fees are the costs of medical or surgical treatment. Fees from physicians who may have assisted in reviewing your test results are also included.
  • If you received any anesthesia benefits from OHSU, you will receive a separate bill.

hospital price list

Charges for medical procedures, medications, supplies, and customary expenses

Unlike hospital bills, which never come as a surprise, predicting how much money will be needed to treat an illness or restore a person to health can be difficult. The amount that you will have to pay will depend mainly on the level of coverage of your health insurance. The best way to estimate these expenses in advance is:

  • Consult the insurance company of your medical insurance about the costs associated with an upcoming hospital stay, or
  • Request a quote for an upcoming medical procedure by calling the OHSU quoting team (phone 503-494-3508).

Below is a list of OHSU’s charges for hospital services. Please note that the amounts shown are gross and do not necessarily match what we bill to health insurers or patients. Although we charge the same to all patients, the financial responsibility of each patient may vary depending on the rates that she has negotiated in her health insurance plan and the individual benefits that she has contracted. Patients who do not have any health insurance or who do not have a sufficient level of coverage are eligible for discounts.

Leave a Reply

Your email address will not be published. Required fields are marked *