Billing Process

Baylor strives to keep the billing process quick and simple. Generally, there are three parts to the billing process:

1. Payment at the time of service
2. Payment from your insurance
3. Payment after a service

If you have any questions about the Baylor billing process, please call 1-800-725-0024.

Payment at the time of service
Today's healthcare consumer expects to know at the time of service what portion of the bill, all or a portion dependent upon insurance coverage, will be his or her responsibility. Baylor is working to meet this expectation and has put in place programs to inform our patients at the time of service of any known payment responsibilities. The goal is to allow payment to be made at the time of service and eliminate the need for any further billing. This allows our patients to manage their expenses and provides a better overall healthcare experience.

Of course, some patient responsibilities can only be determined by an insurance carrier. However, Baylor continues to work with these insurance carriers to provide our patients more information at or before their service.

Co-pays and deductibles are the most common liabilities collected at the time of service but some co-insurance amounts can be collected as well.

• Baylor registrars will collect this money when you check-in.
• Baylor's goal is to call patients prior to their service and inform them of this liability.
• By paying this liability at the time of service, many patients will not receive any further bills.
• Baylor believes time-of-service collections help patients better manage their health care.

Payment from your Insurance (including Medicare and Medicaid)
You are financially responsible for the services you receive at Baylor.

Baylor submits bills for the services you receive at Baylor to your insurance carrier on your behalf.

Except for a known patient liability, Baylor will always bill the insurance carrier before billing the patient.

Most insurance carriers pay Baylor within 45 days.

When an insurance carrier pays Baylor, the insurance carrier indicates the patient's remaining liability.

If an insurance carrier fails to pay or adequately disclose the patient's benefits to Baylor, Baylor expects you to satisfy your financial obligations for services received.

If the insurance carrier pays and Baylor finds that the patient overpaid a bill at the time of service, a refund to that patient will be processed in a short amount of time.

Payment after a Service
Baylor uses fair and reasonable collection practices when billing and collecting from patients after a service. For patients without insurance, the patient collection process begins immediately after discharge.

For patients with insurance, the patient collection process begins immediately after receiving payment from the insurance carrier or the insurance carrier's failure to pay or adequately disclose the patient's benefits to Baylor.

Patients receive summarized statements that describe their services at a level that is easy to understand.

An itemized bill can be requested on-line or requested by calling 1-800-725-0024. Patient statements are sent every 30-40 days.