Direct Mortgage Fund West

Pacific Heart and Vascular’s offices are associated with Dameron Hospital AssociationDameron Hospital Association’s contract with [redacted] requires the collection of the Member’s cost-sharing paymentOur contract language says 'Hospital shall be responsible for the collection of Member Cost-Sharing Payments upon rendering Hospital Services to Member in accordance with the Alignment Benefit Plan'As a result, Dameron Hospital bills the Alignment member as instructed by the [redacted] Explanation of BenefitsThese amounts are not determined by Dameron HospitalIt is Dameron’s responsibility to bill the members these amounts in accordance with the member’s contract with the [redacted] ***Furthermore, as this plan is a Medicare Managed Care plan, there are federal guidelines from CMS (Center for Medicare & Medicaid) guidelines that prohibit hospitals’ from writing off balances due from Medicare beneficiaries without due process on collection effortsIt is not Pacific Heart and Vascular nor Dameron Hospital’s responsibility to understand in detail our patient’s insurance plansThe informational material provided to the member by the members insurance plan should cover this

Pacific Heart and Vascular’s offices are associated with Dameron Hospital Association. Dameron Hospital Association’s contract with [redacted] requires the collection of the Member’s cost-sharing payment. Our contract language says 'Hospital shall be responsible for the collection of...

Member Cost-Sharing Payments upon rendering Hospital Services to Member in accordance with the Alignment Benefit Plan'. As a result, Dameron Hospital bills the Alignment member as instructed by the [redacted] Explanation of Benefits. These amounts are not determined by Dameron Hospital. It is Dameron’s responsibility to bill the members these amounts in accordance with the member’s contract with the [redacted]. Furthermore, as this plan is a Medicare Managed Care plan, there are federal guidelines from CMS (Center for Medicare & Medicaid) guidelines that prohibit hospitals’ from writing off balances due from Medicare beneficiaries without due process on collection efforts. It is not Pacific Heart and Vascular nor Dameron Hospital’s responsibility to understand in detail our patient’s insurance plans. The informational material provided to the member by the members insurance plan should cover this.