Patient Billing Information

At Mercer Health, we believe you have a right to know how much you or your insurance company may be charged for many of our essential services. This list contains our charges for room and board, emergency department, operating room, newborn delivery, physical therapy and other procedures.
 
We charge the same for all patients, but a patient’s responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our admitting and billing staff to determine whether they qualify for discounts. These charges are correct as of April 1, 2010.

Billing Information for Website per OHA

Billing Office Telephone Numbers:
419-678-5151 Main Office
419-678-5148 Financial Advisor (self pay/HCAP/payment plans)
419-678-5159 Anesthesia Billing
419-678-5109 Medicaid Biller
419-678-5102 Medicare Biller (Last Name A-K)
419-678-5108 Medicare Biller (Last Name L-Z)
419-678-5121 Worker’s Compensation/UHC/Goodyear/UMR Biller
419-678-5151 Coresource/Crown/Reynolds & Reynolds Biller
419-678-5103 All other Commercial Insurances (Last Name A-K)
419-678-5190 All other Commercial Insurances (Last Name L-Z)
419-678-5115 Director of Patient Accounts or email ksiefring@Mercer-health.com
Department Fax Number 419-678-5643

Office Hours of Patient Accounts (Billing):
Monday – Friday from 8:00 a.m. to 5:30 p.m. or leave a voicemail after hours with a time for us to contact you. Our Office is located on the 1st Floor next to the Main Lobby of Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828.

Hospital Care Assurance Program (Free Care) and Charity Care
Program (Discounted Care) Policies:
Under the provisions of section 5112.17 of the Ohio Revised Code, Mercer County Community Hospital shall provide basic, medically necessary, hospital-level services free of charge to any non-Medicaid Ohio resident, who is either covered by Disability Assistance or has a family income at or below the Federal Poverty Guideline on the date of service. This provision is referred to as the Ohio Hospital Care Assurance Program (HCAP). Mercer County Community Hospital has expanded their own Hospital Charity Care Program to include all billed services excluded by HCAP and a sliding scale discount for incomes above 100% the federal poverty guideline up to 150%. It shall also include all billed services on a single encounter that exceed one year’s family gross income for those that don’t qualify under the poverty guidelines. To apply for such assistance, consumers must complete, sign and return the application located on the back of their statement letters to the Patient Accounts Department, Mercer County Community Hospital, 800 West Main Street, Coldwater, OH 45828 along with proof of income. There is no time frame requirement to apply. As long as consumer can show proof of income receiving prior to date of service, they are eligible to apply for the program for any account at any time. For assistance in completing, questions regarding the application or to receive a new application, consumers may call our Financial Advisor at 419-678-5148 or Patient Accounts Office at 419-678-5151. Click here to view a printable PDF HCAP form.

Payment Plans:
Mercer Health does offer interest free payment plans for those situations were payment in full can not be made due to financial situation or unexpected medical expenses. For accounts to be set up on a payment plan, consumers may call our Financial Advisor at 419-678-5148 or the Patient Accounts Office at 419-678-5151 to speak to an account representative. Payment booklets are available to track and remind of payment due dates.

Credit/Bank Cards:
Mercer Health does accept payment by credit/bank card for VISA, Mastercard and Discover. Payment can be made by telephone by calling our Patient Accounts Office at 419-678-5151 or our Financial Advisor at 419-678-5148 or by mailing the completed bottom section of our statement letter to Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828. For those customers on a payment plan and upon completion of an authorization form, our office can automatically deduct your monthly payment from your credit/bank card for your convenience.

For an Itemized Listing/Statement of Charges:
For an itemized listing/statement of your detailed charges, consumers can call our Patient Accounts Office at 419-678-5151 or send a written request to Mercer County Community Hospital- Patient Accounts Department, 800 W. Main Street, Coldwater, OH 45828 or
fax to 419-678-5643.

Other Billing Agencies:
In addition to the technical billing for all services rendered at Mercer County Community Hospital, our Billing Office also performs the professional billing services for the Emergency Room Physicians, Doctor’s Urgent Care Physicians, and the Anesthesiologists. For all other professional services, you will be billed by the physician offices directly. Below are a few of the other common professional services you may receive bills.

The Radiologist bill is separately billed by Lima Radiology Associates and their billing office telephone number is 800-444-3387. The mailing address is P.O. Box 5128, Lima, OH 45802.

The Pathologist bill is separately billed by Grandlake Pathology - Dr. Fishbein and their billing office telephone number is 800-873-7909. The mailing address is P.O. Box 96, Coldwater, OH 45828.

The Cardiologist bill is separately billed by Dr. Ranga Inc. – Dr. Kakarla and their billing office number is 419-629-3663. The mailing address is P.O. Box 98, New Bremen, OH 45869.

The Sleep Study Interpretations are billed by Dayton Lung & Sleep Medicine and their billing office telephone number is 800-350-0322- The mailing address is P.O. Box 634857 Cincinnati, OH 45263.

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