When you come to the hospital, Registration will ask you to verify all demographic and insurance information.
You will be required to provide:
You will also be required to sign the Consent for Treatment, authorization to bill insurance and an insurance disclaimer form at time of registration. You will be asked to review and acknowledge our Notice of Privacy Practices. Medicare recipients will be asked questions to complete a Medicare Secondary Payor Questionnaire.
Patients are responsible for all financial liabilities including co-payments and deductibles due at the time of service rendered or at the time of discharge for emergency admissions. If the exact dollar amount has not been determined for your services, you may be asked to pay the estimated dollar amount and will be billed for the remainder of your portion.
© 2017 Piedmont Athens Regional
1199 Prince Avenue, Athens, GA 30606