Frequently Asked Questions About Billing, Insurance, and Records

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How often will I receive a statement from University of Iowa Hospitals & Clinics?

At least once a month, you will receive a statement that lists what your insurance company still owes and what you owe. Statements continue until all payments are made in full.

Why does the statement show a total account balance when I have insurance coverage?

If your insurance plan does not cover the services you received, you are financially responsible for your charges.

What happens if I cannot make the payment in full?

In most cases, we can help establish a payment plan depending on your balances due. Partial payments made toward your balance will not stop collection activity unless you have made payment arrangements with us. Please call Patient Billing Services to discuss payment options:

Phone: 1-319-384-2196
Toll Free: 1-866-393-4605

May I pay by credit card over the phone?

Yes, we accept Visa, MasterCard, Discover, and American Express.

Why are there two charges for the same department and date of service listed on my bill?

We use a combined billing statement, which means we bill you for both the doctor and the use of the facility and equipment on the same bill. This allows you to receive one bill and make one payment for both charges.

What happens if I see a mistake on my bill?

If you have billing questions, contact University of Iowa Hospitals & Clinics Patient Billing Services:

Hours: Monday through Friday, 8 a.m. to 5 p.m.
Phone: 1-319-384-2196
Toll Free: 1-866-393-4605

Why did I receive a bill for a doctor I did not see?

Medical professionals assist in your care even though you may not meet them. Physicians who oversee the residents, physician assistants and nurse practitioners, pathologists, radiologists, and X-ray and imaging technicians involved in your care may be listed on your statement.

Why was my payment divided and applied to the bill in two separate places?

It could have been partly applied to the doctor portion and partly applied to the facility portion. We post your payment to the oldest charges first. On your billing statement, we itemize both the charges and your payments by date.

Where do I get the form that allows UI Hospitals & Clinics to bill my insurance?

The A&A - Authorization to Bill and Authorization to Release of Information for Payment is available to print, fill out, and send back to us.

What are your budget plan guidelines?

Balances of $499.99 or less — 3 months or less; balances of $500 or more — 12 months or less, with a minimum payment required of $25.

How can I get billing information for my adult child?

Your adult child has to sign a “release” for us to be able to provide you with any information about their account.

Where can I get a Release of Information form?

A Consent to Release of Information Form 1989 is available to print, fill out, and send back to us.

How can I sign up for MyChart?

Register for MyChart now.

What kind of assistance do you offer?

UI Hospitals & Clinics offers Patient Financial Assistance for qualifying patients. You can talk to Patient Billing Services, Customer Service, or Financial Counseling.

Patient Billing Services

Phone: 1-319-384-2196
Toll Free: 1-866-393-4605

How do I get an estimate for an upcoming procedure?

Financial counseling will be able to provide you with an estimate of upcoming charges. Please call 1-319-384-6275.

Why are my bills so high—I already paid my co-pay at the time of the visit?

Deductible and co-insurance requirements per your contract benefits may be the additional responsibility.

Why am I getting calls from a collection agency?

After a 120-day billing cycle, your balances may transfer to an outside agency.

I called my insurance company and they said you have coded this wrong—can you re-code and re-bill it?

We can have it reviewed by coding and compliance.

Why am I being billed from your facility when I have never been there?

Labs and/or X-rays from providers outside of UI Hospitals & Clinics may work with us to review results, and will therefore result in doctor charges for the reading of those labs/X-rays.

Where can I get an Advance Beneficiary Notice?

What is hospital-based billing?

Clinics at University of Iowa Hospitals & Clinics are considered “hospital-based” clinics. So when you see a doctor or get care in a clinic at UI Hospitals & Clinics, you are being treated within the hospital using doctor care and hospital care. Doctor care and hospital care must be billed separately, even though they occur together, at the same time. This allows us to provide you with higher quality and seamlessly coordinated care.

Patient bills from UI Hospitals & Clinics have charges for care and/or procedures performed by your doctor and charges for support and care of the hospital/clinic. Depending on your health insurance plan, this may result in a higher out-of-pocket cost for you.

Please review your health care benefits or call your health insurance company to find out if your plan covers facility charges in a hospital-based outpatient clinic and how much of the charge is covered or will be put toward your deductible or coinsurance.

If you have more questions about your patient bill, please call UI Hospitals & Clinics Patient Billing Care from 8 a.m. to 5 p.m. Monday through Friday at 1-319-384-2196, or toll-free at 1-866-393-4605, or email:

What are my rights and protections against surprise medical bills?

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise medical bills, also known as balance billing. In these cases, you should not be charged more than your health insurance plan’s copayments, coinsurance, or deductible.

UI Health Care does not participate in balance billing. If you think you have been wrongly billed, contact the Patient Billing Service office at 1-866-393-4605 or

Learn more by reading Your Rights and Protections Against Surprise Medical Bills.

Where can I learn more about billing terms?

See this Glossary of Health Coverage and Medical Terms prepared by the Centers for Medicare and Medical Services. Terms and definitions are intended to be educational and may be different from the terms and definitions in your plan.