OhioHealth Patient Protections in Medical Billing

What to know about your medical billing rights

From receiving emergency care to navigating in-network and out-of-network services, it's important that you understand your rights and protections as a patient. Your experience is our top priority, and we're committed to supporting you every step of the way.

Overview of your patient rights

Right to a clear and understandable bill

You have the right to receive a bill that is easy to read and understand, with clear explanations of the charges and services provided.

Right to contest billing errors

If you believe there is an error on your bill, you have the right to dispute it and request a review or correction.

Right to financial assistance

You have the right to inquire about and apply for financial assistance programs that can help reduce your medical expenses based on your financial situation.

Right to a good faith estimate

You are entitled to receive an estimate of the expected costs for your medical care before receiving treatment, helping you plan and manage your healthcare expenses.

Protection from surprise billing

You are protected from unexpected charges when receiving emergency care or when treated by an out-of-network provider at an in-network facility. You should not be billed more than your in-network cost-sharing amount.

Right to privacy and confidentiality

Your billing information and medical records are handled with strict confidentiality and privacy, ensuring your personal information is protected.

Right to appeal insurance decisions

If your insurance company denies coverage for a service or treatment, you have the right to appeal the decision and request a review.

Right to information about insurance coverage

You have the right to receive detailed information about what your insurance plan covers, including benefits, limitations and out-of-pocket costs.

Right to access medical records

You have the right to access your medical records and obtain copies, allowing you to review your health information and ensure its accuracy.

Right to assistance and support

You have the right to request assistance and support services, such as interpreter services or financial counseling, to help you understand and manage your medical billing and healthcare needs.

Additional resources

Centers for Medicare & Medicaid Services (CMS) provides information on patient rights and protections against surprise medical bills.
HealthCare.gov explains health insurance rights and protections, including coverage details and avoiding surprise bills.
No Surprises Act Resources help patients understand protections against unexpected medical bills and how to resolve billing disputes.
U.S. Office of Personnel Management (OPM) provides information on patient rights, privacy, and appealing insurance decisions for federal employees.

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Frequently asked questions

What should I do if I receive a bill I don't understand?: If you receive a bill that you don't understand, visit our Understanding Your Bill page or contact the OhioHealth Customer Call Center at (614) 566-5594 for a detailed explanation. We can help clarify any charges and provide a breakdown of services.
What is the process for disputing a charge on my OhioHealth bill?: To dispute a charge, contact the OhioHealth Customer Call Center at (614) 566-5594. Be prepared to provide your account number and details about the disputed charge. They will guide you through the process of reviewing and resolving the issue.
What is a good faith estimate, and how can I get one?: A good faith estimate is an estimate of the expected costs for your medical care. Visit our Healthcare Estimates and Pricing page to learn more.

How can I appeal an insurance decision?: If your insurance company denies coverage for a service or treatment, you can appeal the decision by following the appeals process outlined by your insurance provider.
How can I get information about my insurance coverage?: You can get detailed information about your insurance coverage by contacting your insurance provider or reviewing your insurance policy documents. Our billing department can also help answer any questions you have.
How do I access my medical records?: You can access your medical records through your MyChart account. Additionally, you can download a patient access form and fax your completed form to (614) 533-1155.