Billing and Insurance

Billing Process

During the admitting process, our staff will collect necessary information to process your hospital bill. Occasionally we may need more information from you and may contact you or your family member on the telephone or, in some cases, visit your hospital room. We promise to introduce ourselves and make the visit as brief as possible.

Insurance Coverage

If you have insurance, the Seton will file a claim with your insurance company(ies), on your behalf. As the patient’s guarantor, please provide all necessary information and documentation to determine your insurance benefit eligibility. This information may include, but is not limited to, answering the following questions:

  • Has the patient been added to the insured’s policy?
  • Have complete and signed claim forms been submitted to the insured’s carrier?
  • Has secondary insurance information been provided to the Hospital if applicable?
  • Have your services been authorized and, if applicable, do you have a referral form from the primary care physician?

Payment Terms

You will receive a payment remittance notice or an “explanation of benefits” (EOB) from your insurance company that will explain how your hospital account was paid. Seton will be working on your behalf to secure your insurance payment. If payment from the insurance company is not received within a sixty (60) day period, Seton may request assistance from you in securing payment.

If you have not made payment to us for the amount of your deductible and co-pay portions, or if you do not have insurance, please remit payment at once. Seton will accept cash, checks, money orders and all major credit cards. If you are unable to pay the amount in full, please call Customer Service at (512) 324-1125 or toll-free 1-800-749-7624 to discuss payment options. Seton appreciates your prompt attention to this important matter.

Late Charges

Charges or credits not posted to your account within three (3) to five (5) days from discharge are considered “late charges or credits.” When late charges or credits occur, your insurance claim will be re-filed. This may result in additional liability to you.

Physicians Direct Billing

Certain physician specialists may bill you directly for the professional component of certain services. Their billing is separate form your Hospital bill and is not a duplication of billing. Typically, emergency room physicians, radiology, anesthesiology and pathology services in the Hospital will result in such professional billings.

Itemization of Charges

If you wish to obtain a complete itemization of your Hospital charges, you may do so by calling our Customer Service Department at (512) 324-1125 or toll-free 1-800-749-7624. Please have your account number available so that we may expedite your request.