{"id":947,"date":"2019-08-28T20:52:49","date_gmt":"2019-08-28T20:52:49","guid":{"rendered":"https:\/\/mysouthwell.com\/?page_id=947"},"modified":"2026-03-19T15:19:32","modified_gmt":"2026-03-19T19:19:32","slug":"billing-and-insurance-information","status":"publish","type":"page","link":"https:\/\/mysouthwell.com\/billing-and-insurance-information\/","title":{"rendered":"Billing and Insurance Information"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"947\" class=\"elementor elementor-947\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-42c17430 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"42c17430\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-60e242f0\" data-id=\"60e242f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61e0fa61 elementor-widget elementor-widget-heading\" data-id=\"61e0fa61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"\/\" class=\"breadcrumb-home\">Home<\/a> \/ <a href=\"\/about\" class=\"breadcrumb-home\">About Us<\/a> \/ Billing and Insurance Information<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-1a52e501 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"1a52e501\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c756cf3\" data-id=\"3c756cf3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69bc9c5e elementor-widget elementor-widget-heading\" data-id=\"69bc9c5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Billing and Insurance Information<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-71efadfa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"71efadfa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-569ad032\" data-id=\"569ad032\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ea13232 elementor-widget elementor-widget-text-editor\" data-id=\"6ea13232\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Pay Your Bill<\/h4><p>For online payment options, click\u00a0<a href=\"https:\/\/mysouthwell.com\/pay\/\">here<\/a>.<\/p><h4>Accepted Health Plans<\/h4><p>For a list of accepted health plans at Tift Regional Health System, please\u00a0<a href=\"\/trhs-accepted-insurance-plans\">click here<\/a>.<\/p><p>For a list of accepted health plans at Southwell Ambulatory practices, please\u00a0<a href=\"\/swa-accepted-insurance-plans\">click here<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba9920f elementor-widget elementor-widget-heading\" data-id=\"ba9920f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Southwell\u00a0Patient Financial Services<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0c7bed elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"a0c7bed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-chevron-right\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t907 E. 18th Street, Suite 190, Tifton, GA 31794 <br> (located in Tifton Physician Center \u2013 MOB) <br> (229) 520-3320\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d3a7 elementor-widget elementor-widget-text-editor\" data-id=\"f92d3a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Allow Us to Assist You<\/h4><p>Representatives with Tift Regional Health Systems\u2019s (TRHS) Patient Financial Services are available to help answer questions patients and family members may have about insurance coverage, deductibles, co-insurance and payment arrangements. They will be glad to explain your insurance benefits and requirements related to your TRHS bill; explain Medicare requirements; estimate your bill; assist with special payment arrangements; and refer you to a financial assistance program.\u00a0 If they cannot answer your question, they will direct you to someone who can.<\/p><p>Deductibles, non-covered services and co-insurance amounts may be paid before or at the time of the hospital stay.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-04b7248 elementor-widget elementor-widget-text-editor\" data-id=\"04b7248\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>If You Have Insurance<\/h4><p>TRHS works with many insurance carriers. However, some insurance plans require you to go to a specific provider or network. Others require you to obtain pre-authorization. To avoid surprises, contact your insurance company to see what they require.<\/p><p>TRHS will bill the primary and secondary insurance carriers and provide additional information as needed to process your hospital claim.\u00a0 Once the insurance carrier pays its portion of the bill, or if the carrier denies payment of the bill, the balance of the account becomes your responsibility.\u00a0 Services provided by a physician will be billed separately from hospital charges by the physician\u2019s billing service.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a39625d elementor-widget elementor-widget-text-editor\" data-id=\"a39625d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>After Your Insurance Pays<\/h4><p>You will receive a billing statement after payment by your insurance carrier. This statement will include total charges for services and any payments made by the insurance company. Other correspondence may be sent or calls made to help keep you informed of the account balance and any payment you are expected to make. To receive an itemized statement, please call (229) 353-6124 option 3 or e-mail by clicking\u00a0<a href=\"mailto:jessica.morey@tiftregional.com\">here<\/a>.\u00a0 To receive your itemized statement please include patient name, account number and date of birth.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a21584d elementor-widget elementor-widget-text-editor\" data-id=\"a21584d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Payment Options<\/h4><p>Payments can be made at the Patient Financial Services office, Monday through Friday, 8:00 a.m. to 4:30 p.m., or by mail to the address below. Southwell accepts Mastercard, VISA, American Express\u00a0and Discover credit cards. To utilize a credit card, present your card at the cashier\u2019s window or return your credit card information by mail on the billing statement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86a56a5 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"86a56a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-chevron-right\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tTRHS\u2019s Payment Lockbox<br>\nP.O. Box 71459<br>\nPhiladelphia, PA 19176-1459\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91cf09c elementor-widget elementor-widget-text-editor\" data-id=\"91cf09c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>For correspondence please mail to:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9572130 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"9572130\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-chevron-right\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tTRHS, Inc.<br>\nP.O. Box 807<br>\nTifton, GA 31793\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-226d610 elementor-widget elementor-widget-text-editor\" data-id=\"226d610\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Chargemaster<\/h4><p>To view our Chargemaster, please click\u00a0<a href=\"\/chargemaster\">here<\/a>.<b><strong>\u00a0<\/strong><\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a489459 elementor-widget elementor-widget-text-editor\" data-id=\"a489459\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Financial Assistance<\/h4><p>Need financial assistance?\u00a0 Please click\u00a0<a href=\"\/financial-assistance\/\">here<\/a>\u00a0for information.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b25ccd8 elementor-widget elementor-widget-heading\" data-id=\"b25ccd8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Your Rights and Protections Against Surprise Medical Bills<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-286028ad elementor-widget elementor-widget-text-editor\" data-id=\"286028ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.<\/p><h4>\u00a0<\/h4><h4>What is \u201cbalance billing\u201d (sometimes called \u201csurprise billing\u201d)?<\/h4><p>When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and\/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn\u2019t in your health plan\u2019s network.<\/p><p>\u201cOut-of-network\u201d describes providers and facilities that haven\u2019t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called \u201c<strong>balance billing<\/strong>.\u201d This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.<\/p><p>\u201cSurprise billing\u201d is an unexpected balance bill. This can happen when you can\u2019t control who is involved in your care\u2014like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider.<\/p><h4>\u00a0<\/h4><h4>You are protected from balance billing for:<\/h4><h3><strong>Emergency services<\/strong><\/h3><p>If you have an emergency medical condition and get emergency services from an out-of- network provider or facility, the most the provider or facility may bill you is your plan\u2019s in- network cost-sharing amount (such as copayments and coinsurance). You\u00a0<strong>can\u2019t\u00a0<\/strong>be balance billed for these emergency services. This includes services you may get after you\u2019re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.<\/p><p>The state of Georgia and the federal government both have laws to protect you from balance billing although they are a little different. State rules only apply to fully insured commercial health insurance plans and some government plans. Federal rules may also apply to commercial health insurance in situations where you received health care services in another state, your health insurance is regulated by a state other than Georgia or the health care service you received is not regulated by the state law.\u00a0 Most of the differences between the state and federal laws are in the way the rules affect providers and health insurers, so you usually won\u2019t need to worry about that. However, the grievance processes are different, as indicated on the government websites linked below.<\/p><p><strong>Certain services at an in-network hospital, ambulatory surgical center or other facility<\/strong><\/p><p>When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan\u2019s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers\u00a0<strong>can\u2019t\u00a0<\/strong>balance bill you and may\u00a0<strong>not\u00a0<\/strong>ask you to give up your protections not to be balance billed. Under Georgia law this rule also applies to imaging centers, birthing centers, and similar facilities in addition to hospitals and ambulatory surgical centers. If you get other services at these in-network facilities, out-of-network providers\u00a0<strong>can\u2019t\u00a0<\/strong>balance bill you, unless you give written consent and give up your protections.<\/p><h3><strong>You\u2019re\u00a0<u>never<\/u>\u00a0required to give up your protections from balance billing. You also aren\u2019t required to get care out-of-network. You can choose a provider or facility in your plan\u2019s network.<\/strong><\/h3><p>The best way to find an in-network provider is to use the online provider directory on your health plan\u2019s website.<\/p><h3><strong>When balance billing isn\u2019t allowed, you also have the following<\/strong><strong>\u00a0protections:<\/strong><\/h3><ul><li>You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities<\/li><li>Your health plan generally must:<ul><li>Cover emergency services without requiring you to get approval for services in advance (prior authorization). Under Georgia law, your health plan cannot later deny such services because they don\u2019t consider them medically necessary.<\/li><li>Cover emergency services by out-of-network<\/li><li>Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of<\/li><li>Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket<\/li><\/ul><\/li><\/ul><h3><strong>Your rights and protections against surprise medical bills<\/strong><\/h3><h4><strong>Good Faith Estimate<\/strong><\/h4><p>You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your medical care will cost. Under the law, health care providers need to give patients who don\u2019t have insurance or who are not using insurance an estimate of the bill for medical items and services.<\/p><p>You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.<\/p><p>Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.<\/p><p>If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.<\/p><p>Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit\u00a0<strong><a href=\"https:\/\/www.cms.gov\/nosurprises\">www.cms.gov\/nosurprises<\/a><\/strong>\u00a0or call\u00a0<strong><a href=\"tel:%2018009853059\">1-800-985-3059<\/a><\/strong>.<\/p><p><strong><b>If you believe you\u2019ve been wrongly billed<\/b><\/strong>, first contact your provider and\/or your health plan for an explanation. If they can\u2019t resolve your concerns, you can contact the Georgia Office of the Commissioner of Insurance and Safety Fire\u00a0online\u00a0at\u00a0<a href=\"https:\/\/oci.georgia.gov\/\">https:\/\/oci.georgia.gov\/<\/a>\u00a0or by phone at (404) 656-2070.<\/p><p>Visit\u00a0<a href=\"https:\/\/www.cms.gov\/nosurprises\">https:\/\/www.cms.gov\/nosurprises<\/a>\u00a0for more information about your rights under federal law.<\/p><p>Visit\u00a0<a href=\"https:\/\/oci.georgia.gov\/how-do-i-file-complaint\">https:\/\/oci.georgia.gov\/how-do-i-file-complaint<\/a>\u00a0for more information about your rights under Georgia law.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Better understand your options when it comes to billing and insurance information.<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"page_categories":[430],"class_list":["post-947","page","type-page","status-publish","hentry","page_categories-financial-resource"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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