Billing Policies
Heritage Valley will directly bill
your insurance company if you have medical benefits through any type of
individual, group, employer-based, or government-funded plan. We will also submit bills on your behalf to
auto or workers’ compensation companies or other medical benefit programs if we
are made aware of their financial responsibility.
The bills generated by Heritage
Valley will only include services rendered by Heritage Valley providers. This includes, Heritage Valley Beaver &
Sewickley Hospitals, Medical Neighborhoods, Heritage Valley Medical Group,
Heritage Valley Pediatrics, Tri-State OB/GYN.
Other providers bill separately by those who perform the services.
Once your insurance company has
reviewed and processed your claim, the hospital is notified. Your insurance coverage dictates how much
your insurance company pays and what portion of the bill is your financial
responsibility. Most insurance companies
also send this notification to the patient or the subscriber and typically refer
to this notice as an EOB (Explanation of Benefits). It is imperative that patients/ subscribers
understand their own insurance coverage
and any policy limitations they have agreed to by enrolling with that
particular plan.