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Frequently Asked Questions about Billing and Insurance

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Facility Fees for Outpatient Medical Bills

What are facility fees?

What is a "hospital-based outpatient clinic” and why am I charged a facility fee?

Are facility fee charges unique to UC San Diego Health?

What is a typical facility fee charge?

Can I avoid a facility fee?

General Billing Questions

Why am I getting a bill for an annual wellness visit?

Why did I get more than one bill?

How can I pay my bill?

How do I contact customer service if I have questions about my bill or need an itemized copy of my bill?

Why are you asking for my deductible, co-insurance, or co-payment at the time of my visit?

I paid at the time of my appointment. Why am I getting a bill?

I have two insurance health plans. Why do I have a balance?

I received a bill from a doctor I did not see. Why?

I was billed for services I did not receive. What should I do?

I had medical services several weeks ago. Why haven't I received a bill?

How will I know how much I owe?

How can I pay my bill?

How often will I receive a statement?

How are my payments applied to my account?

I had prior authorization for my medical service(s) at UC San Diego Health. Why am I being asked to pay money?

What if I overpay my bill?

Insurance Coverage

I do not have insurance. How will you bill me?

How do I add my newborn or other dependents to my health plan?

Can I change PCP’s within UC San Diego Health?

Do I need a referral for urgent care?

How will I know when my health insurance carrier has paid?

Will my insurance cover the medical service I require?

Is it my responsibility to ensure that the services I receive are covered by my health insurance plan before receiving them?

If my insurance does not cover the medical services I receive, am I responsible for the bill?

How are insurance claims billed and processed?

I am changing insurance coverage. I would like to stay with UC San Diego Health. Will my new insurance cover my cost?

Are any common services often not covered by insurance?

Where do I call to update my address and/or obtain a medical record number?

Why did my insurance deny my claim?

Financial Assistance

Is financial assistance available if I don't have health insurance or am unable to pay my bill in full?

Note about your privacy: In April 2003, a federal act called the Health Insurance Portability & Accountability Act (HIPAA) went into effect that protects patient information. The hospital cannot release ANY information concerning your medical record, including financial information, to anyone but you, a legal guardian for patients under 18 years of age, and/or a conservator without written permission unless specifically permitted by law.