The Financial Services department assists patients through multiple areas of the hospital including: Financial Counselors, Cashier, Customer Service Call Center, Central Registration, Pre-Registration, Business Office, Scheduling and Operators.
If you have general questions or concerns about your hospital bill, call our Customer Service number at (256) 737-2986, Monday-Friday, 8:00 am – 4:30 pm.
Insurance / Medicare
Prior to hospital admission, you will be asked to provide your insurance identification card. Our staff will verify your coverage, review your benefits and estimate the amount due from you. You will be responsible for deductibles, copays and/or charges above that coverage and will be asked to pay those amounts prior to or during your stay.
While we will strive to optimize your insurance coverage, patients are ultimately responsible for charges incurred when using hospital services. A financial counselor may visit your room during your stay to explain your financial obligation and assist you in establishing payment arrangements. If you have questions, assistance may be obtained by calling one of the following:
For last names beginning with A-L, call (256) 737-2678
For last names beginning with M-Z, call (256) 737-2677
Your hospital bill does not include fees for the professional services of your physicians, anesthesiologists, surgeons or consulting physicians. You may also receive bills from specialists, which include radiologists or pathologists who bill separately for their services.
Charity Policy and Application
Charity financial assistance is available to eligible patients receiving medically necessary services. You are required, however, to complete the Financial Assistance Application and submit supporting documentation to verify your need for financial assistance.
Identifying Patients Needing Financial Assistance
- At any time during an initial financial screening and continuing collections process, patients who claim to lack the ability to pay will be offered a Financial Assessment Application.
- A hospital representative will review and explain the process. We assign patients Financial Counselors by the last name. If your last name begins with A-L, call (256) 737-2678, if your last name begins with M-Z, call (256) 737-2677, Monday-Friday, 8:00 am – 4:30 pm.
Cullman Regional uses the Federal Poverty guidelines to determine eligibility for charity consideration. The guidelines are based on annual income and family size, and are adjusted by the government annually. You may qualify for a full or partial discount on charges. Patient’s annual household income will be compared to eligibility guidelines based upon 200% of Federal Poverty Levels (FPL). Click here for the Guidelines, or contact the Patient Financial Services Department at (256) 737-2986.
Applying for Financial Assistance
- The Financial Assessment Application must be complete in its entirety.
- Click here to complete an application online.
- Within 10 days of receipt, the patient must return the application and supporting documents.
- Additional time may be granted in extenuating circumstances.
- Supporting documentation includes, but is not limited to:
- Click here for a printable copy the application.
- Most recent year’s income tax return
- Copy of Social Security cards or formal identification for all household members included in income guidelines
- Most recent month’s checking and savings account statements
- Documentation of all monthly payment obligations reported on application
- Proof of income: paycheck stubs or a notarized memo from employer. Employer’s name, address and phone number must be included on proof of income.
- Notarized verification of financial support received from friends, family, churches, charitable organizations, etc.
- Written verification of a pending disability case
Exclusions to Supporting Documentation Requirements
- Administrative Determination
- Cullman Regional Administration may, on a case-by-case basis and not with prior determination, exempt a patient from requested documentation in the event of extenuating circumstances.
- Details of extenuating circumstances will be documented in the financial counselor’s summary and recommendations.
- Medicaid Recipients
- Patients with Medicaid who exhaust their Medicaid coverage for a specific aide category, indicated on the Medicaid Remittance Advice, will receive a 100% adjustment to the specified account balance. Cullman Regional’s Business Office will confirm that the recipient ID was correct on the Medicaid claim.
- For patients under 21 years of age, the Cullman Regional Business Office will confirm that there is no Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Referral that should be used on the claim.
- Good Samaritan Health Clinic Patients
- Those with a qualifying Good Samaritan Health Clinic Patient Identification Card in effect for the date of hospital service will not be required to complete the Financial Assessment Application.
- The Good Samaritan Health Clinic will maintain supporting documentation.
Charity Review and Assessment
- Financial counselors will review your application with supporting documents, obtain a consumer credit report, summarize the information and recommend approval or denial. Your annual household income will be compared to eligibility guidelines based upon 200% of Federal Poverty Levels.
- Cullman Regional’s Patient Financial Services Manager, Patient Financial Services Director and/or Chief Financial Officer will review and assess recommendations.
- A financial counselor will notify you of your eligibility and explain any payment required.