Insurance & Billing

Insurance & Billing

Overview and Financial Arrangements

At UT Medical Center, we understand medical expenses are often unexpected.  Therefore, we offer trained and knowledgeable staff to assist and educate you through the insurance and billing process.  From insurance coverage, financial assistance, and estimates, our dedicated Financial Counselors are here to help.  UT Medical Center accepts many insurance plans and offers payment arrangements on patient responsible balances.  If you are uninsured or underinsured, you may qualify for our Financial Assistance program.  Do you have questions about insurance and billing? Speak with our Financial Counselors 865-338-3616, option 1, for an estimate of your hospital care cost or if you need assistance with financial arrangements. Uninsured patients may call 865-305-7998.

View current accepted insurances here

Financial Assistance

UT Medical Center provides both uninsured and underinsured patients financial assistance options for medically necessary health care services provided by University Health Systems employed providers.  Eligibility for assistance may vary depending on residency, income, family size, and eligibility for insurance coverage. Patients are responsible for completing a Financial Assistance Application along with any necessary documentation to process the application.  For questions or further information regarding our Financial Assistance program, please call 865-338-3616, option 1. Uninsured patients may call 865-305-7998.

English Financial Assistance Application

Spanish Financial Assistance Application

Your Hospital Bill

During the admission process, you will be asked to assign all benefits of any insurance you have to the hospital so that it may bill these companies on your behalf and receive the payment directly. After your discharge, a bill will be mailed to your insurance provider. If there is a remaining balance after the insurance company pays or denies the claim, you will be responsible for paying that balance. Should you have any question concerning payments or denial, please contact your insurance company.

Pay Your Bill

Other Bills Related to Your Stay

You will receive separate bills from your personal physician, surgeon and other specialists such as a radiologist, anesthesiologist, emergency physician, cardiologist, or pathologist for services that your doctor has requested. These professional service charges are not included in your hospital bill. Please contact the appropriate professional if you have questions about their service by seeing a contact list here.

Patient Responsibility and Pricing Estimates

We’re pleased to offer price estimates through our online self service estimation tool. In just a few simple steps, you can create an estimate of your out-of-pocket costs for many common procedures and service. The actual cost may vary based on the procedure and the health status of the individual patient. Additionally, the estimates provided in this tool only apply to hospital charges and do not include physician charges and other charges beyond the actual hospital charge.

Resources

Visit the link below to find on-line answers to FAQ’s associated with hospital and insurance billing, billing term glossary, important phone numbers, financial assistance information and UT Medical Center billing policies.

Price Information or Standard Charges

The Centers for Medicare and Medicaid Services (CMS) require hospitals to disclose all of their “standard charges” on their websites. The University of Tennessee Medical Center (UT Medical Center) has therefore posted our hospital “standard charge” listing through the link below. “Standard charges” as defined by CMS, mean privately negotiated rates with third-party payers, gross charges and discounted cash prices for a medical service or procedure.

It is important to remember these “standard charges” are available for services that are scheduled in advance and tend to follow a common course of care. If a patient has other health conditions that would complicate their care the ultimate “Standard Charge” associated with a Hospital stay could be different than services scheduled in advance.

Learn More >

File Disclaimer

The information provided on this site is an estimate of the “Standard Charges” as defined by CMS’s Price Transparency Rules for a medical service or procedure. It does not represent the actual amount you will be charged as many variables are involved in providing the amount such as:

  • The length of time spent performing the procedure
  • Amount of equipment and supplies used
  • Quantity of medications and special drugs administered
  • Additional or same tests ordered over a period
  • Or any unexpected conditions or complications that can occur
  • Our negotiated charge with your insurance company.

Physician and Non-Physician Providers are not included in the “Standard Charges” and are billed separately. Examples include:

  • Physician office and Consulting visits
  • Surgeon and Anesthesiologist
  • Emergency Room physicians
  • Radiologist
  • Pathologist (Lab)
  • Hospitalist

The amount paid by your insurance and your benefits will ultimately determine the amount you owe. Checking with your insurance company is the best way for you to understand what you owe.

If you have no insurance, we discount the charges to comply with state and federal requirements. We will also work to assist you in finding coverage.

If you would like an estimate of your out of pocket expenses for your upcoming procedure please contact our financial counselors. Insured patients may call 865-338-3616, option 1. Uninsured patients may call 865-305-7998. You can also reach the counselors by email at: PatAccessFinancialCounselors@utmck.edu

I have read the disclaimer and I understand the information on the following pages is an estimate of UT Medical Center’s “Standard Charges” as defined by CMS’s Price Transparency Rules only. The actual amount I will be required to pay will be different.

Contact Info
Financial Counseling
1924 Alcoa Hwy
Knoxville, TN 37920

Monday-Friday 8 am-4:30 pm

Email us at BOCustomerService@utmck.edu
Insured patients: 865-338-3616, option 1
Uninsured patients: 865-305-7998

Navigate Our Site
Pay My Bill
Price Estimator
Resources
Important Phone Numbers
Billing Policies
Frequently Asked Questions
Contact Us

Find a Doctor Make an Appointment

Patient Responsibility and Pricing Estimates

We’re pleased to offer price estimates through our online self service estimation tool. In just a few simple steps, you can create an estimate of your out-of-pocket costs for many common procedures and service. The actual cost may vary based on the procedure and the health status of the individual patient. Additionally, the estimates provided in this tool only apply to hospital charges and do not include physician charges and other charges beyond the actual hospital charge.

 

Learn More

Resources

Visit the link below to find on-line answers to FAQ’s associated with hospital and insurance billing, billing term glossary, important phone numbers, financial assistance information and UT Medical Center billing policies.

Learn More
A young Asian woman works on a laptop in an office

Price Information or Standard Charges

The Centers for Medicare and Medicaid Services (CMS) require hospitals to disclose all of their “standard charges” on their websites. The University of Tennessee Medical Center (UT Medical Center) has therefore posted our hospital “standard charge” listing through the link below. “Standard charges” as defined by CMS, mean privately negotiated rates with third-party payers, gross charges and discounted cash prices for a medical service or procedure.

It is important to remember these “standard charges” are available for services that are scheduled in advance and tend to follow a common course of care. If a patient has other health conditions that would complicate their care the ultimate “Standard Charge” associated with a Hospital stay could be different than services scheduled in advance.

Learn More >

File Disclaimer

The information provided on this site is an estimate of the “Standard Charges” as defined by CMS’s Price Transparency Rules for a medical service or procedure. It does not represent the actual amount you will be charged as many variables are involved in providing the amount such as:

  • The length of time spent performing the procedure
  • Amount of equipment and supplies used
  • Quantity of medications and special drugs administered
  • Additional or same tests ordered over a period
  • Or any unexpected conditions or complications that can occur
  • Our negotiated charge with your insurance company.

Physician and Non-Physician Providers are not included in the “Standard Charges” and are billed separately. Examples include:

  • Physician office and Consulting visits
  • Surgeon and Anesthesiologist
  • Emergency Room physicians
  • Radiologist
  • Pathologist (Lab)
  • Hospitalist

The amount paid by your insurance and your benefits will ultimately determine the amount you owe. Checking with your insurance company is the best way for you to understand what you owe.

If you have no insurance, we discount the charges to comply with state and federal requirements. We will also work to assist you in finding coverage.

If you would like an estimate of your out of pocket expenses for your upcoming procedure please contact our financial counselors at 865-338-3616, option 1 or by email at:
PatAccessFinancialCounselors@utmck.edu.

I have read the disclaimer and I understand the information on the following pages is an estimate of UT Medical Center’s “Standard Charges” as defined by CMS’s Price Transparency Rules only. The actual amount I will be required to pay will be different.


View File

Black woman at home with laptop talking on the phone
Contact Info
Financial Counseling
1924 Alcoa Hwy
Knoxville, TN 37920

Monday-Friday 8 am-4:30 pm

Email us at BOCustomerService@utmck.edu
Insured patients: 865-338-3616, option 1
Uninsured patients: 865-305-7998

Navigate Our Site
Pay My Bill
Price Estimator
Resources
Important Phone Numbers
Billing Policies
Frequently Asked Questions
Contact Us

Find a Doctor Make an Appointment
0

Start typing and press Enter to search