Billing Resources (A28)

We will submit your charges based on the services you receive to your insurance carrier. In some cases, you may receive a separate bill from a physician or service provider – including the hospital – who is not contracted or employed within Oneida Health’s Circle of Care. This may include your attending doctor, medical consultant or services received by physicians from the emergency room, imaging, anesthesiology, and/or pathology. Bills not from health services within Oneida Health’s Circle of Care may follow different financial guidelines.

Most insurances are accepted within Oneida Health’s Circle of Care but it is important for you to know the terms of your health insurance policy and what it covers prior to receiving care. Present your insurance identification card every time you come to register for a service.

Please be advised that many health care insurers require precertification/authorization before arriving or within 24 hours after hospitalization and will reduce or deny your payment if this policy is not followed. You must call your insurance company to ensure precertification is obtained. This may also apply to outpatient testing and outpatient surgery. Again, it is imperative that you contact your insurance company to ensure that the service is covered and authorized. Failure to do so will result in prepayment by you prior to the service being rendered.

If we are unable to process your insurance claim, you will be contacted. You may be asked to provide additional information or to contact your insurance company to resolve any issues. If you feel that an error has been made in the processing of your claim, please call 315-361-2087.

If you have Medicare coverage, receive inpatient services and have not been admitted to the hospital in the past 60 days, the current year’s deductible will be required at the time of admission for elective care if no secondary insurance is in effect. Payment will be required prior to or at the time of discharge to cover all, deductibles and co-insurance after you have received emergency services. If you have Medicaid coverage, present your card when you register.

Yes, in the event of a work-related accident, the hospital will submit your bill for confirmed and authorized Workers’ Compensation covered injuries to the appropriate Workers’ Compensation insurance carrier. If you have any questions regarding your bill, contact our Workers’ compensation Customer Service Representative at 315-693-9998. Representatives are available Monday through Friday 8:00 am-4:30 pm.

In the event of an automobile accident, we will submit your bill for confirmed and authorized No Fault covered injuries to the appropriate No Fault insurance carrier. We request that you provide all necessary information to the appropriate automobile insurance carrier for payment. If you have any questions regarding your bill, contact our No-Fault Insurance Customer Service Representative at 315-693-9998 to make suitable payment arrangements. Representatives are available Monday through Friday 8:00 am-4:30 pm.

For self-pay patients, certain deposits are required before you schedule your elective procedure. These services include:

• Inpatient services: For elective, non-emergency admissions, a $2,500 deposit will be required when you preregister or arrive at the hospital for service.
• Outpatient services: A deposit will be required prior to services being rendered.
  • Clinic
  • Lab $50
  • Cardiology/Respiratory Therapy $250
  • Sleep Lab $500
  • Radiology
    • PET/MRI/CAT Scan/Nuclear Med. $500
    • DEXA/Mammography $200
    • Ultrasound $200
    • Diagnostic X-Ray $100
  • Emergency care: A $200 deposit will be required at the time of discharge.
  • Outpatient surgery (including Endoscopy & Ambulatory) A $1,000 deposit will be required at the time of registration with an acceptable payment arrangement.
  • Physical therapy and rehabilitation services: A deposit of $100 will be required at the time of registration.
  • Ambulatory Medical $500
  • Ambulatory Procedure $1,000

For your convenience, Oneida Health’s Certified Application Counselor can help you apply for Marketplace insurance plans or Medicaid. Please call our Certified Application Counselors at 315-361-2230 to make arrangements. Representatives are available Monday through Friday 8:00 am-4:00 pm.

Your insurance carrier may require you to pay a copay for certain services and may also require you to pay other portions, like a deductible or an out-of-pocket amount. Deductibles, co-payments and other charges not covered by your health insurance will be required to be paid at the time you are preregistered, or when you arrive to use a service. For urgent or emergency services, payor portions such as deductibles, copays, or self-pay payments will be asked for after services have been received. Individual health insurance plans may differ in the benefits and coverage they provide. Present your insurance identification card every time you register for a service. We also encourage you to contact your insurance provider prior to receiving your care to fully understand your financial responsibilities.

If you are advised of services that will not be covered by your insurance, or if you do not have sufficient funds to pay the bill, it is important that you contact one of our Financial Counselors as soon as possible. We will assist you with a payment plan or advise you of alternate funding options that fit your specific needs. Please contact our Financial Counselor at 315-361-2048. We are open Monday through Friday 8:00 am to 4:00 pm.

Payment for services rendered is our primary source of operating income; therefore, we cannot afford to extend unlimited credit and must require timely payment of bills. We may have to take collection action on unpaid accounts. Following the recommendations and payment guidelines regarding your specific insurance coverage will alleviate the need for such action. Your support in ensuring reimbursement for medical bills will enable us to continue meeting the health care needs of our community.

Yes, we follow income limits determined by Federal Guidelines when assessing your eligibility for various Financial Assistance programs. You will be required to apply for any other available insurance or programs prior to receiving financial assistance. Elective, non-emergency procedures will be postponed if financial arrangements are not made prior to the service date.

View our Financial Assistance Application.

Yes, if you have not already, please sign up for the Oneida Health’s Patient Portal. This secure patient portal allows patients to request appointments, refill prescriptions, and pay their bills online.

For your convenience, we accept most forms of payment including: cash, check, Paypal, Paypal Credit, Visa, MasterCard, American Express, and Discover credit cards.

Yes, if you pay your balance in full within 10 calendar days of receiving your hospital statement, we will apply a 10% Prompt Pay Discount.

Please contact Customer Service at 315-361-2087 or 315-361-2047. We are open Monday through Friday 9:00 am to 5:00 pm.