Frequently Asked Questions: Insurance & Billing

FAQsTexoma Medical Center (TMC) wants answer your billing questions. Here is a list of answers to frequently asked questions to help you understand your billing statement.

What are my payment options?

You can pay by check, money order, Visa, MasterCard, American Express, and Discover. Please include your account numbers on any payment information you submit.

Will TMC and/or TexomaCare physicians send my medical bill to my insurance company?

TMC and TexomaCare will file claims on all accounts in which there is complete insurance information (insurance name, address, policy number, group number, etc.). Bills are submitted to the primary insurance company. If you have a secondary insurance company, a claim will be submitted to the secondary insurance company after the primary insurance company has paid.

How long will it take my insurance company to pay their portion of the bill?

On average, an insurance company will process a claim within 45 days. TMC and TexomaCare will follow up with the insurance company to expedite the resolution of the claim. At times you may need to contact the insurance company to assist in this process.

Why did my insurance pay only a part of my bill?

Most insurance plans require that you pay a copayment, coinsurance, and/or a deductible for your healthcare expenses. Your bill may include charges that you are responsible to pay, such as non-covered items or out-of pocket expenses. Contact your insurance company for specific information pertaining to your coverage.

Why do I need to call the insurance company if they do not pay the bill?

If you have a PPO policy or an individual policy, you are ultimately responsible for the total biIl or any portion of the bill your insurance plan does not pay. TMC and TexomaCare will make every effort to collect payment on the account from your insurance company, but we may need your assistance to resolve any concerns.

How can I find out if my insurance has paid or how much they have paid?

When your insurance company processes your claim you should receive an explanation of benefits (EOB) in the mail. The EOB will contain payment information and the amount due from the patient. Contact your insurance company with questions about the status of a claim or how the claim was processed.

Why did I receive more than one bill for my hospital visit?

In addition to the hospital bill, you may receive biIls for professional services you received during your visit. These ancillary bills are from providers such as ER physicians, radiologists, cardiologists, pathologists, and/or anesthesiologists. It is a legal requirement for these providers to submit separate bills for their services. The hospital is not responsible for the billing or collection of these services. If you have questions about these bills, please call the number listed on the billing statement.

What happens if my account is delinquent?

When a balance is due, you should receive two to three notices in the mail. If the account is not paid in full, it may be referred to our billing agency. If the account is not paid after further attempts to collect by the billing agency, the account will be sent to a collection agency.

How do I obtain an itemized statement?

Itemized statements will only be sent to patients upon request. A TMC itemized statement can be requested by calling (903) 416-4005. A TexomaCare itemized statement is sent monthly to the guarantor.

What if there is an error on my bill?

If you believe that your bill is incorrect, contact us and we will be happy to discuss it with you.

TMC wants to make every effort to assist you with your billing questions. Here is a glossary of common billing terms to help you understand your billing statement.
Managed Care Listing of the managed care plans that provide access to TMC services and TexomaCare physicians.
Billing can be one of the most confusing aspects of getting the healthcare you need. That's why Texoma Medical Center will make every effort to answer your billing questions.
It’s Convenient. It’s Easy. It’s Quick. With our new Online Bill Pay, you can easily and quickly pay your hospital bill online, from the comfort of your home.
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Texoma Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.      

Texoma Medical Center
5016 South US Highway 75
Denison, TX 75020
(903) 416-4000

© 2016 Texoma Medical Center. All rights reserved.

Note: The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither Texoma Medical Center, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.The information, content and artwork provided by this website is intended for non-commercial use by the reader. The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. The making of additional copies is prohibited.