Insurance claims are submitted when complete and accurate information is received. We submit forms as a courtesy service for patients. Please note that submitting insurance claims is not a guarantee of payment from the insurance carrier.

Please present a current insurance card when registering and checking in for services. The information on the card is important for correct identification of insurance benefits. Your insurance company may have a timely filing deadline that must be met in order for your benefits to be paid, so please provide cards as soon as possible.

Insurance Plans Accepted

CATAWBA VALLEY MEDICAL CENTER AND CATAWBA VALLEY MEDICAL GROUP ACCEPT THE FOLLOWING COMMERCIAL, MEDICARE AND MEDICAID PLANS

Patients with commercial or managed care coverage are responsible for paying co-pays, deductibles and fees for non-covered services at the time of service. Please review your insurance policy benefits. If you have questions about coverage, contact your employer or insurance company.

Many insurance companies require prior authorization or pre-certification for medical services. CVMC makes attempts on your behalf to provide information requested by your insurance company including contacts to your physician’s office which will allow your insurance company to make a coverage determination.

If you are hurt as a result of an injury on the job, Catawba Valley Medical Center will bill your employer or your employer’s Worker’s Compensation carrier. In cases where Worker’s Compensation denies the claim or services received include work-related as well as non-work-related healthcare services, your health insurance information will be needed.

We will submit Medicare claims for patients. Patients are responsible for deductibles, co-insurance and amounts for non-covered services.

• Medicare Part A – covers inpatient hospitalization services
• Medicare Part B – covers outpatient hospital services and medical (physician) services
• Medicare Part C – covers various healthcare services based on your benefits and is considered Medicare Managed Care
• Medicare Part D – covers retail pharmacy items and are not billable services for Catawba Valley Medical Center

Business Services submits insurance claims for Medicare supplemental insurance when accurate and complete information has been provided.

We will submit claims to Medicaid if you have presented a current valid card or verification of coverage has been obtained through the Department of Social Services. You may be responsible for a portion of the charges if Medicaid determines a co-pay or deductible is due.

Medicaid Beneficiaries: Don’t miss out on important North Carolina Medicaid and NC Health Choice benefits information! If your phone number, mailing address, household size or income have changed, call or visit your local Department of Social Services (DSS) (https://ncdhhs.gov/localdss) to update your information. If there have been no changes to your personal information, then no action is needed. Be sure to read all mail from your local DSS office.

Did you know you can also update your address and other information for Medicaid online? ePASS is North Carolina’s secure self-service website where you can apply for various benefits, view case details, renew your Medicaid and update your information without having to visit your local DSS.

• Visit https://epass.nc.gov from a computer or mobile device to sign up for ePASS
• For additional information or help with your ePASS account, see the ePASS fact sheet “What is ePASS?”

Some patients are unable to pay balances in full and need extended time to pay for services. CVMC has partnered with AccessOne, a long-term financing company to assist patients in these situations. AccessOne will establish affordable payment arrangements without a credit check and without a lengthy application. All patients will qualify by agreeing to accept the terms of the AccessOne payment program. Sending partial payments to CVMC does not establish a formal payment plan.

CVMC has Financial Counselors on staff to assist with potential eligibility for North Carolina Medicaid and our Uninsured/Charity Program. Patients are required to provide financial information to qualify for these programs in accordance with the current federal poverty guidelines.

Insurance claims are submitted within days of service to Medicare, Medicaid, Commercial, Managed Care, Liability and other carriers. Patients are expected to pay any known co-pays, deductibles and non-covered amounts when services are received. All requests for payments are based upon ESTIMATED amounts and are not considered final billing totals. Any remaining balances due will be sent once the insurance company has paid or denied. The balance is due and payable upon receipt of your statement.

During your treatment you may receive care from physicians or other healthcare providers who will bill separately for their services. Some of these providers may include your private physician, emergency room physician, radiologist, pathologist, anesthesiologist, ambulance services and others.

These providers will send separate billing. This list is not all inclusive.

• Catawba Radiological Associates Inc.: 828.322.2644
• Catawba County Emergency Medical Services: 800.814.5339
• Western Piedmont Anesthesiology: 866.282.0799
• Wake Forest Emergency Physicians (Emergency Department Physicians): 866.759.8507
• Piedmont Pathology Associates: 828.322.2644

Payment Options

• Cash
• Personal check
• Pay online
• Short term payment plans available
• Credit Cards: Visa, Mastercard, Discover, American Express
• Long term payment arrangements through the AccessOne program which may include interest
• Financial assistance for patients who meet Federal Poverty Guidelines through the Uninsured/Charity Program

Mail Payments To Our Bank Lockbox

Catawba Valley Medical Center
Business Services
P.O. Box 890041
Charlotte, North Carolina 28289-0041

For More Information, call us Monday through Friday from 8:30am to 5pm. Closed for lunch from 12:30pm – 1:30pm. Our Patient Financial Advocate line can be reached at 828.326.3393