Billing overview

Within the hospital we have two billing departments, which is why after some hospital care you may receive two separate bills for your one visit.  Rest assured you are not being billed twice, it is just easier and more organized if we keep hospital bills and physician bills separate.  If you are unsure of a charge or want to talk over your bill please call 802-524-1006. Information on Provider-Based Billing Receiving care at NMC’s “Provider-Based” locations may result in a facility charge as well as a professional or physician charge for outpatient services and/or procedures. These charges will be reflected on the bill you receive.  This additional charge recognizes the additional regulatory and administrative requirements often carried by services within a hospital.  Depending on your insurance, you may pay more for these services and procedures than they would at a practice or facility not participating in Provider-Based Billing. Patients should review their insurance benefits or contact their insurance provider to determine what their policy will cover and identify any out-of-pocket expenses.

Billing example

A Diagnostic Imaging test will receive two bills: 1)  A hospital bill for all costs incurred during your test 2)  A physician bill from the radiologist for the interpretation of your test These are two separate departments billing you for their services, therefore each payment should be sent to the correct billing address provided on the bill. Rehabilitation billing: This billing is done on a monthly basis to your insurance. You will receive a copy of that bill, however you will not receive a final balance due statement until you have been discharged from your Rehab Services program.  

Insurance process

There are many reasons for claim processing delays through your insurance carrier. Please keep in mind that it could take months before you receive a statement from NMC showing the deductible or copay that you are responsible to pay. Failure to comply with any of these Insurance requirements may mean an additional self-pay balance for you.
  • Some insurances require preauthorization before they will pay for certain tests and surgical procedures. Please make sure that your physician has contacted your insurance company to obtain this prior to having services. Failure to do so can result in claim denial or reduced payments.
  • Some insurances require referrals before they will pay for services performed at the hospital. These referrals are usually done by your primary care physician. If you have such a plan, please make sure that your primary care physician has done your referral. Failure to do so, can result in claim denial.
  • If you receive a questionnaire from your insurance company, please fill it out as requested. Failure to do so may result in claim denial from your insurance company.
We will post payments from insurance companies as we receive them. If we bill you for a deductible or copay, it is because the insurance company has processed your claim showing these amounts as your responsibility. If you have a problem with the deductible or copay, please contact your insurance company directly. If you do not have insurance, a representative will work with you to settle your account. We have multiple options available for you, please call (802) 524-1065 to discuss what will be the best option for you.

Importance of your insurance card

 
We ask that you bring in your insurance card anytime you come to the hospital. Each visit has a new account number and requires the input of your insurance information. If you do not have your card with you, please phone in the information as soon as you can. We can only bill your insurance if you provide us with up-to-date information, so inform us when information about you has changed since your last visit, such as address or phone number. Many times we see incorrect information lead to claims being denied by insurance, elongating the process or making it difficult to get coverage.  For insurance companies with timely filing limits, be aware of your deadline. If you wait months before providing your insurance information, your insurance may not pay the claim. If your insurance card has a copay amount listed, we will request that copay during the registration process.