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Pregnancy & ChildbirthWellness & PreventionTreatment & Care

Billing and Payment

Filing Insurance Claims
Precertification
Your Financial Responsibility
Hospital Notice of Medicaid Non-Coverage for Routine Circumcisions
Coverage for Newborns

Filing Insurance Claims
The Patient Accounting department at Woman’s Hospital is pleased to file insurance claims for services we provide to our patients. If at any time you wish to discuss your bill, please contact our customer service area at 225-924-8106, Monday-Friday, 8:00 am-4:00 pm. Patients may come to our office Monday-Friday, 8:00 AM-4:30 PM at 8850 Airline Highway.

To ensure accurate filing of your insurance claim, please do the following:

  • Prior to your arrival, review your insurance carrier’s requirements for pre-certification/pre-authorization. Failure to follow your carrier’s stated protocol could result in reduced benefit payments.
  • Present your insurance card at the time of registration.

While you are at the hospital, you will probably receive services from doctors who will be interpreting tests ordered by your doctor, or providing other specialized services to you. You may or may not receive a visit from these doctors. These doctors will bill you for the services they provide separately from your doctor and the hospital. Services provided by other professionals not employed by Woman’s Hospital – including but not limited to: anesthesia, emergency medicine, pathology, radiology, neonatology, or perinatology – will be billed separately. These providers may or may not be participants in your insurance plan. Please contact your member service representative with your insurance carrier for coverage determination. Specific inquiries regarding professional billing for these services may be directed to:

Service Provider Name Phone Number
Anesthesia Louisiana Anesthesiology Group, LLC 225-929-7600
Laboratory Pathology Group of Louisiana 225-769-9993
Neonatology Infamedics 225-928-2555
Perinatal Maternal-Fetal Medicine Center 225-924-8338
Radiology Medical Business Consultants
225-296-0041 ext. 121

Many changes have occurred during the past few years in the health care and insurance industries. In the past, patients only needed to know their deductible and that they would only owe 20 percent of any medical bills. Those days are rapidly disappearing. With the influx of health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other managed care products, new terms such as medical necessity, precertification, gate keepers, etc., have appeared. Often patients are restricted as to what physicians they can see and what health care facilities they can use.

What does this mean to you? It means that employers, physicians, and hospitals are asking you to become more involved in the health care process. To prevent reduced benefits or denial on health care claims, you must educate yourself and the members of your family on the “rules” that your insurance plan may have. We have listed a few common procedures that your insurance plan may require before you use any services. However, insurance carriers and employers may have different requirements. Always call your plan administrator or insurance representative to find out what requirements you must follow:

Precertification
Precertification is the authorization of medical service by your insurance carrier. Typically, your physician will precertify your procedure or visit. However, in most cases, you are ultimately responsible. If precertification is not performed, your insurance company may reduce your level of benefits or simply deny benefits altogether.

Therefore, always check to see if precertification is required for the hospital service you are to have performed and, if it is, verify that your physician has taken care of this step.

Your Financial Responsibility
Based on your insurance benefits, you are expected to pay any co-payment or deductible at the time of service. Payment may be made by cash, check, or credit card. If you are not able to pay this portion at the time of service, you will be expected to contact our financial counselor to make acceptable financial arrangements.

Hospital Notice of Medicaid Non-Coverage for Routine Circumcision
In April 2005, the Louisiana Department of Health and Hospitals Medicaid program stopped paying for circumcisions in the hospital unless required for a medical condition. Please talk to your physician for advice about circumcisions. Some physicians do this procedure in their office.

If you have a boy and plan to have your baby circumcised at Woman’s Hospital, you have to pay for the procedure. If you pay upon admission (inpatient) or registration (outpatient) you will receive a 20% discount off the charge for the circumcision procedure. Please be aware that the charge to have the procedure performed as an inpatient is significantly less than having it done as an outpatient in our clinic. These fees are for hospital services only which include the hospital’s staff time, equipment and supplies. Your doctor will also charge a fee for doing the procedure.

Please be prepared to pay when you register. Woman’s Hospital accepts cash, checks, and all major credit cards.

If you have questions about coverage by Medicaid, please call the Louisiana Department of Health and Hospitals at 225-922-1542 or 800-359-2122.

Coverage for Newborns
It is very important to contact the employer of the insured person to complete the appropriate enrollment forms immediately after birth. In order to have coverage for the care of your newborn, you must add your newborn to your health plan. Most health plans allow you a limited time to add a newborn; until your newborn is added, your claim for hospital services cannot be processed for payment. Once the newborn has been added, please notify Woman's Hospital and provide needed information so that a claim can be filed.

Manage your Woman’s Hospital Account Online
Woman’s Hospital offers the convenience of online management of your patient account. Simply use your patient account number and birth date to log into our secure service. You can make payments using your credit card, update address and insurance information, view your account activity, and submit bill-related questions.