Frequently Asked Questions

When you are registered as a patient at the Davis County Hospital you will be asked questions regarding:

• During the patient registration process you will be asked to present an update insurance card or information regarding your insurance carrier. Additional information that you may be asked for includes specific forms or original documentation needed by your insurance carrier. This information may include claim forms, authorizations, referrals, etc.
• As a service to our patients, Davis County Hospital will file your insurance claim with your carrier, but you are ultimately responsible for paying for the services you receive.
• At the time of registration you will be asked to pay any deductibles and co-pays your insurance may have in place. The facility provides several options for you to make those payments including cash, checks, Master Card, Visa and Discover.
• Davis County Hospital understands that there may be times when you faced with an illness and are underinsured or uninsured. Staff will be happy to visit with you regarding financial assistance, and your individual needs.
• Patients at Davis County Hospital will always receive care that is medical necessary regardless of their ability to pay.

Fee Reductions:

Our fees are accepted by most insurance plans as “usual, customary and reasonable.” We do not make UCR reduction unless we have a contractual arrangement with your insurance company.

Non Covered Services

Insurance companies do not pay for all medical services, even those that might be helpful to a patient. When a service is not covered by your insurance policy, you are responsible for paying the bill. Services that may be included are:

• Procedures, visits, tests, etc.
• Medications
• Supplies

Physicians dictate your diagnosis for each visit or procedure. We are unable to change this information just so the claim will be paid.

Pre-Certification

Many insurance plans have pre-certification requirements. Generally, you or your physician is responsible for obtaining pre-certification. Most insurance companies will not accept pre-certification from the hospital.

To avoid penalties or reduce payments, for which you will be responsible, please call your insurance carrier for specific information.

Davis County Hospital has a trained financial counselor available to discuss your individual needs.

If you do not have insurance or will have difficulty paying your portion of the bill, our counselor can assist you with your needs in making payment arrangements, reviewing for the Davis County Hospital Financial Assistance Program, or, in case of hospital admission, a referral for public assistance.

Regardless, patients will receive necessary medical care, and the care will never be based on the patient’s ability to pay.

Davis County Hospital would like to thank you for having the confidence in us to allow us to serve your healthcare needs. To make your visit to our facility less stressful, we would like to give you information that you will need to know concerning your visit, documentation you will need for your visit and additional information that will make the registration and payment process easier.

Registration

The Registration Department is usually a patient’s first stop on the way to a scheduled inpatient test, procedure or surgery. Although your physician has already scheduled the procedure for you or you have made an appointment to see one of our physicians.

To help provide a smooth registration process we ask that you bring the following information with you to your physician appointment, ER Visit or scheduled procedure:

• Patient's Social Security Number
• Current insurance card or information regarding your current insurance
• Valid photo I.D.
• Employment Information
• Name of primary care provider
• List of medications, including dosage or the medication itself
• Past health history
• Bring a copy of the patient’s advance directive (if available) for patient record filing purposes.

For appointments involving procedures, contact your insurance company before your visit to meet pre-authorization requirements. If requirements are not met, the patient’s benefits may be reduced, leaving the patient responsible for most of the entire hospital bill.

Medicare Patients

At the time of registration, Medicare patients will be asked a series of questions that are required by Medicare at the time of registration.

They will include:

• Are your eligible for Age Disability Federal Coverage?
• Is Medicare primary or secondary payer for your visit?

Financial Assistance

Financial Assistance is a program available at the Davis County Hospital that assist people who cannot afford medical care – this includes the uninsured and even the underinsured. Our financial counselor or registration staff would be happy to help determine if you qualify and completing the require paperwork.

If you do qualify, your financial assistance will cover all or part of the cost associated with medically necessary services provided at Davis County Hospital. This could include emergency room visits, laboratory tests, surgery, in- or outpatient services, and any medication you received while a patient was in our facility.

For more information regarding our Financial Assistance Program please get in touch with Angela Jones at extension 2420.

Financial Assistance Application

Understanding Your Bill

Davis County Hospital is committed to helping you understand your hospital bill.

Davis County Hospital works with a company called First Party for patient billing and collection services. Your bill will be sent directly to you from First Party’s offices located in Colorado Springs, CO. The business envelope containing your bill will list “Davis County Hospital” on the return address, but will list a Colorado Springs address.

Although the bill is generated in Colorado Springs, CO, our local business office has the original record and is available to answer any questions you have about your payment.

Contact the Davis County Hospital business office at (641) 664-2145.

Patient Financial Services Contacts

If you have any questions or concerns regarding your bill for services provided at Davis County Hospital or Davis County Hospital Medical Associates, please feel free to contact us.

Patient Accounts
Jackie Burdett
641-664-2145, ext. 2212

Financial Counselor
Angela Jones
641-664-2145, ext. 2420

Insurance Department
Please call 641-664-2145 and ask for the Insurance Department.

Financial Services or Self Pay
641-664-7144

Financial Assistance is a program available at the Davis County Hospital that assists people who cannot afford medical care—this includes the uninsured and even the underinsured. Our financial counselor or registration staff would be happy to help you determine if you qualify and complete the required paperwork.

If you do qualify, your financial assistance will cover all or part of the cost associated with medically necessary services provided at Davis County Hospital. This could include emergency room visits, laboratory tests, surgery, in- or outpatient services, and any medication you received while a patient was in our facility.

For more information regarding our Financial Assistance Program, please get in touch with Angela Jones at extension 2420.

Financial Assistance Application

Davis County Hospital and Davis County Medical Associates accepts multiple insurance payments. To ensure that they will cover services at our facility, we would recommend that you contact your insurance company to make sure that our facility and physicians are on your insurance preferred provider list. This would eliminate any confusion and insure that they will pay the maximum amount according to your policy.

View Policy

Prompt Pay Discount Davis County Hospital offers a prompt pay discount for all their patients.

Accounts that are paid in full within 30 days from the date of the patient’s first statement, excluding all pre-set co-pays (physician office and ER), are eligible for a 10% discount.

If you have any questions regarding our discount policy please get in touch with Angela Jones, at ext. 2420.

The information contained in this file is being provided in compliance with the Centers for Medicare and Medicaid Services (CMS) requirement [FY 2019 IPPS/LTCH PPS Final Rule; CMS-1694-F> for hospitals to post a list of their standard charges online in a machine-readable format.

By clicking to download this information you agree you have read and understand the following:

• The information contained in the file is current as of the last upload. Charge information is subject to periodic changes and the file will be updated as soon as practically possible to reflect such changes
• The file contains both the charge amount and the charge description of the item or service as reflected in the hospital's charge master (CDM)
• A charge represents the dollar amount assigned to specific medical services before application of any negotiated discounts to third-party payers. The actual hospital charges will vary based on the type of care provided, treatments, individual health conditions and other factors. If you need an exact estimate of your out-of-pocket cost, please call or submit a request online as described elsewhere on this website.
  PLEASE NOTE THESE CHARGES MAY NOT INCLUDE FEES FROM YOUR SURGEON OR OTHER PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN AND OTHER PROFESSIONAL PROVIDERS. Typically, you will be billed separately for these professional services
• Following the CMS guidelines, the information in this file represents the hospitals current standard charges as reflected in the CDM. However, it is important to understand that the information represented in the CDM is the starting point in many cases and can undergo additional adjustments through the billing process, therefore, please be aware:
  • The charge shown is the original charge for the item or service prior to any adjustments that result from applying modifiers in certain situations
  • The CDM is used in multiple hospital departments and may have different charges for the same item or service and such instances will repeat in the file. For a single charge master item, the charge is consistent; however, there may be slight variation in charges for services with similar descriptions for various reasons
  • Charges for certain items or services are based on per unit, such as – including but not limited to – surgeries, anesthesia, and recovery which can be based on the unit of time and complexity; medications, drugs which can be based on weight-based dosage, age or packaging; etc.
  • Certain items and or services have a zero dollar price in the CDM for a variety of reasons – contracted billing services that drop charges externally, no cost supplies, Investigation device or medication exemption items in clinical trials and studies, replacement for a recalled or defective device, explode codes and other system limitations. Such items and services will appear with zero dollar and is not reflective of the actual charge. In addition, items and or services are sometimes assigned a one penny price to reflect, for example, a state provided medication or drug, contrast items, therapy status codes used for CMS reporting, etc. and Is not reflective of the actual charge contained outside of the charge master,
• The file may also contain CDM items for non-charges (such as payments, allowances, transactions, etc.)

The file is voluminous, and downloading it may take excessive time depending on your internet speed.

By clicking to download this information, you agree you have read and understood the above.

View DCHC’s Current Standard Charges

Davis County Hospital contracts with a physicians group that reads and interprets the radiology procedures. They take care of billing their services separate from Davis County Hospital.

The Davis County Hospital financial department is set up to process bills on a per visit basis. Each time you come to our facility we process your visit, if you are at our facility two times in one week you will receive a bill for each visit made during the week.

Davis County Hospital’s billing department is set up to send one bill for professional fees and a separate one for facility fees. If you have any questions regarding your bill, please get in touch with the hospital by calling 641-664-2145.