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Insurance and Billing FAQs

Thank you choosing for Children’s National Health System for your child’s healthcare needs. We understand navigating through financial matters associated with healthcare can be confusing. The following is a list of frequently asked questions related to billing and insurance.

Questions to ask the hospital

  • Why was my account placed with a collection agency before the hospital sent me a bill?
  • Why was my bill sent to the wrong insurance
  • What if I cannot pay my bill in full at the time of service?
  • How can I obtain an estimate of costs for my child's care?
  • If I have a question about my bill, who can I contact?
  • Why are my out-of-pocket expenses based on my outpatient benefits?
  • Why do I receive a statement before the insurance has paid its portion?
  • Why do I receive two bills for each date of service?
  • What date of service does this bill cover

Questions to ask your insurance provider

  • What types of services are generally covered by a group health insurance plan?
  • What if you have a pre-existing condition?
  • Does my surgery/hospital stay need preauthorization?

Health insurance terms keywords

  • What is authorization/preauthorization?
  • What is a benefit package?
  • What are carve outs?
  • What is coinsurance?
  • What is a co-payment?
  • What is a deductible?
  • What are definitions, benefits, limitations, and exclusions?
  • What is an HMO?
  • Point-of-Service Plan or Point-of-Service Option (POS)
  • What is a PPO?
  • What is PSV?