Frequently Asked Questions

  1. Will Central Florida Health accept my insurance?
  2. Am I responsible for usual and customary fees that my insurance company did not pay?
  3. What do I do if I need a copy of my charges?
  4. Who do I contact if my account has been referred to a collection agency?
  5. Do I qualify for a discount if I do not have insurance?
  6. Why did I receive a bill for a doctor I did not see?
  7. What if I cannot afford to pay the balance on my Central Florida Health bill?
  8. I gave my insurance information at the hospital. Why am I receiving this statement?
  9. How do I change my personal information online? The insurance information shown on my statement is incorrect. How do I change it?
  10. Where should I send my payment?
  11. Why didn’t my insurance company pay in full?
  12. What other bills can I expect to receive?
  13. How can I request an itemized bill?
  14. How can I update my billing address?
  15. How can I update my insurance information?
  16. Can I make monthly payments on my hospital bill?
  17. Who can I talk to regarding questions or concerns with my bill?
  18. How can I receive a copy of my medical records?
  19. How may I pay my bill?
  20. What if I get more than one bill?
  21. Who should I contact if there is a change in my insurance or contact information?
  22. How will I know if my insurance company has paid my bill?
  23. Will I be required to pay anything when I arrive at the hospital?
  24. Do I need to let my insurance company know that I will be receiving services before I come to the hospital?
  25. How do I know if my insurance company will pay for services provided by all professional providers (e.g. anesthesiologist, radiologist, and pathologist) involved in my treatment?
  26. How do I know if my insurance company will pay for the hospital services?
  27. Why didn’t my insurance pay for some services?
  28. What if I disagree with how much my insurance paid on my bill?
  29. Can I still go to Central Florida Health if my insurance plan is out of network?
  30. What information will I need to pay my bill online?
  31. What are self-administered drugs and does Medicare cover them?
1. Will Central Florida Health accept my insurance?
Please contact your insurance company and ask whether or not Central Florida Health is in your network. Payments of co-pays, co-insurances and/or deductibles are expected at the time of your appointment. We will file a claim to your insurance for the remaining balance as a courtesy. Once we receive notice that your claim has been processed, we will send you a statement of any balance that is due. If your insurance does not respond directly to us within an appropriate time frame, you will receive a statement showing the full amount due.
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2. Am I responsible for usual and customary fees that my insurance company did not pay?
Each insurance company has the right to determine their payment amount, which is sometimes called “usual and customary.” We do not accept usual and customary allowances as determined by private insurances as payment in full. These balances will be your responsibility. We will provide any additional documentation, when appropriate, to help process your claim for maximum benefit.
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3. What do I do if I need a copy of my charges?
You may request an itemized statement for your charges by Contacting Us, email us at pfs@cfhalliance.org, or by calling Customer Financial Services at (352) 323-5090 or (866) 935-9823.
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4. Who do I contact if my account has been referred to a collection agency?
For information regarding our collection agency please contact Customer Financial Services at (352) 323-5090 or (866) 935-9823.
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5. Do I qualify for a discount if I do not have insurance?
Central Florida Health does offer an uninsured discount for covered services. This discount will be automatically applied to your charges. We also offer prompt pay discounts for non-covered services. To determine if you are eligible for this discount, please contact Customer Services at (352) 323-5090 or (866) 935-9823.
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6. Why did I receive a bill for a doctor I did not see?
Some providers may assist with your healthcare even though you may not meet them. These are the providers who read your lab results, x-rays and other test results.
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7. What if I cannot afford to pay the balance on my Central Florida Health bill?
Under the Central Florida Health Financial Assistance Policy, financial assistance is available to eligible patients who are in need as defined by the Policy. Eligibility is based, among other factors, upon family income and number of family members in the household. If you think you may be eligible for financial assistance, you may request an application by calling (352) 323-5040. Installment payment plans are also available for those who qualify. This policy does not apply to non-Central Florida Health service providers who bill independently.
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8. I gave my insurance information at the hospital. Why am I receiving this statement?
If you provided insurance information at the time of registration, please review your statement to determine if a payment or adjustment was made based on your insurance coverage. If a payment or adjustment was made, the remaining balance is your responsibility and may include coinsurance, deductible or other non-covered services. To make a payment, please click on the link below.
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9. How do I change my personal information online? The insurance information shown on my statement is incorrect. How do I change it?
Click on “Contact Us” and change any information on your account by clicking on the pfscustserv@cfhalliance.org link and send an email with the correct information.
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10. Where should I send my payment?
Payment should be sent to the address in the remit to section of your statement. For your convenience, a return envelope has been enclosed or you may choose to pay online by logging in to your online account and pay using Visa, Mastercard, American Express or by eCheck. You can also pay over the phone by calling toll-free (866) 935-9823.
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11. Why didn’t my insurance company pay in full?
Many insurance policies have a deductible, co-pay, or coinsurance amount. Sometimes certain charges are not covered under particular policies. This may be the case with your carrier. To confirm your responsibility under your policy, if any, you can call your insurance company directly or call the telephone number listed on your billing statement for further information.
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12. What other bills can I expect to receive?
In addition to the Central Florida Health bill you have received, you may receive bills from one or more of these other providers who bill independently including but not limited to:
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13. How can I request an itemized bill?
You can request an itemized bill online via email pfscustserv@centflhealth.org or by contacting Customer Service at (352) 323-5090 or (866) 935-9823. If requesting itemized bill via phone, please be prepared to provide the following information, patient name, patient date of birth, patient account number and facility name that provided service.
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14. How can I update my billing address?
You can request an address update online via email pfscustserv@centflhealth.org or by contacting Customer Service at (352) 323-5090 or (866) 935-9823.
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15. How can I update my insurance information?
You can request an insurance update online via email pfscustserv@centflhealth.org or by contacting Customer Service at (352) 323-5090 or (866) 935-9823.
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16. Can I make monthly payments on my hospital bill?
You may request to be set up on a monthly payment schedule by contacting Customer Service at (352) 323-5090 or (866) 935-9823.
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17. Who can I talk to regarding questions or concerns with my bill?
Customer Service Representative will be happy to assist you with any problems or concerns that you have regarding your bill. You can speak to a live representative Monday – Friday from 8:00 am to 5:00 pm. by calling (352) 323-5090 or (866) 935-9823. You may also contact us via email at pfscustserv@centflhealth.org. Please reference your account number in the subject line.
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18. How can I receive a copy of my medical records?
If you would like to request a copy of your medical records, you may contact our Medical Records Department at 352-323-5240.
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19. How may I pay my bill?
Central Florida Health offers you several options for paying your bill. You may pay your bill online, US mail, by phone. For complete details please visit our pay bill page.
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20. What if I get more than one bill?
You may receive bills from other healthcare professionals that are not employed by Central Florida Health Alliance. These may include your doctor, anesthesiologists, radiologists or pathologists. Each physician who participated in your care will bill you separately for service provided. Questions concerning these bills should be directed to that provider’s billing office.
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21. Who should I contact if there is a change in my insurance or contact information?
If you have a change in information you can complete our online insurance/address update form or contact Customer Service at (352) 323-5090 or (866) 935-9823.
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22. How will I know if my insurance company has paid my bill?
After your insurance receives and processes your claim you will receive an Explanation of Benefits (EOB) explaining how your claim was handled. The EOB will show amount of payment, patient responsibility and/or denials. If there is a patient responsibility due, we will send you a statement.
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23. Will I be required to pay anything when I arrive at the hospital?
Upon admission, if you have medical insurance, you may be asked to pay a deductible or copay depending upon your insurance plan. If you do not have health care coverage, you will be asked to pay the full amount of your estimated charges at the time of service. If you cannot afford to make the payment in full, you will be asked to speak to one of our Financial Counselors to establish a payment plan.
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24. Do I need to let my insurance company know that I will be receiving services before I come to the hospital?
Insurance coverage varies between plans and employer groups. It is best if you contact your insurance to discuss any pre-certification requirements prior to your arrival.
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25. How do I know if my insurance company will pay for services provided by all professional providers (e.g. anesthesiologist, radiologist, and pathologist) involved in my treatment?
Contact your insurance company directly. Central Florida Health Alliance does not know if each professional provider is contracted with your insurance company.
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26. How do I know if my insurance company will pay for the hospital services?
Contact your insurance company directly. Their phone number is usually located on your health insurance card.
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27. Why didn’t my insurance pay for some services?
Insurance policies vary on what services are covered under your plan. Consult with your employer and/or health insurance company directly to know and understand your specific coverage.
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28. What if I disagree with how much my insurance paid on my bill?
Contact your insurance company directly. Be sure to note the representative you have spoken to. If an error has been made, request the insurance company provide you a timeframe of when the correct payment will be received. If your insurance indicated the bill was paid correctly, request information on how to appeal the decision. An appeal will allow the payment to be reconsidered, however this is not a guarantee payment will be made.
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29. Can I still go to Central Florida Health if my insurance plan is out of network?
In cases of emergency, go to the nearest emergency room. Your insurance will generally cover the ER costs or will transfer you to an in-network hospital once you are stable. For outpatient services, you may be required to pay a larger out of pocket portion on your bill. To be sure, contact your insurance company directly to discuss.
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30. What information will I need to pay my bill online?
When paying your bill online you will need to know the Guarantor’s date of birth and social security number. If you are not sure who the Guarantor is on the account, you will find this information in the Account Summary section of your statement.
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31. What are self-administered drugs and does Medicare cover them?
Generally, the oral and topical prescriptions and over-the-counter drugs you get in an outpatient setting like an emergency department, outpatient department, or the clinical decision unit are identified as “self-administered drugs” by Medicare and aren’t covered by Medicare Part B. If you have Medicare Part D prescription drug coverage, these drugs may be covered under certain circumstances. You will likely need to pay out-of-pocket for these drugs and submit a claim to your drug plan for reimbursement. Call your Medicare Part D plan provider for more information. A Community Hospital is not a Medicare Part D provider and cannot submit a claim for payment. “My doctor told me that I was admitted and I stayed one or more nights in the hospital.” Being “admitted” does not necessarily mean you met Medicare inpatient criteria, as set forth in the federal Medicare regulations. Even though you may have stayed one or more nights in the hospital, this date of service did not meet inpatient level of care standards, as defined by Medicare.
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