Commercial Claims Analysts
Blue Cross Claims Analysts
Lenoir Memorial Hospital will submit a claim to your insurance company provided you supply all the required information, and that benefits are assigned to Lenoir Memorial Hospital. You are responsible for any portion of charges not covered by your insurance and payment is expected at or prior to the time of service. If you have not paid at the time of service, all amounts billed to you are payable upon receipt of the statement. Delayed insurance payments do not relieve patients of their obligation to pay the balance when due.
HMO, POS, or PPO insurance
Patients with HMO, POS, or PPO coverage are responsible for paying any co-payment, deductibles, co-insurances, or fees for non-covered services at the time the services are rendered. Full payment of co-pays is requested before services are rendered. To help you get the most from your health plan, Lenoir Memorial Hospital encourages you to familiarize yourself with your insurance plan’s requirements prior to seeking care. Since your employers negotiate their own contracts with insurance companies, plans can differ significantly. Each patient has a responsibility to know and understand his or her individual benefit package. A common example is $150.00 co-pay that a number of Lenoir Memorial Hospital contracted payers have for emergency room visits. Your plan may be higher or lower than our example.
If you have any questions regarding insurance payment or denial, please contact one of our Commercial Claims Analysts. If you have any questions regarding insurance for a Blue Cross Blue Shield plan please contact a Blue Cross Claims Analysts.
LENOIR MEMORIAL HOSPITAL LAUNCHES SEARCH FOR STRATEGIC PARTNER
Kinston. NC—(December 4, 2013)— Lenoir Memorial Hospital officials today announced the launch of a process to search for a strategic partnership with another hospital, health system or hospital company with the goal to further strengthen and enhance healthcare services and better meet the needs of the community for the long term. Recently, Lenoir Memorial engaged an outside hospital consulting firm that spent a year learning about the organization, the way it operates, its finances and its culture. The firm conducted studies inside the hospital and in the community to understand what Lenoir Memorial is today – and what it can be in the future. At the end of its work, the firm found that in order to continue the 100-year legacy of excellent, high-quality care in the future, the hospital must consider partnering with another organization. “For a century, Lenoir Memorial has been a trusted, essential care provider for patients in Lenoir County and the surrounding region. We are a strong and profitable organization today, but the world of healthcare delivery is changing, so we are taking proactive steps to ensure continued growth and success to protect access to care close to home,” said Gary Black, president and CEO of Lenoir Memorial Hospital. The Lenoir Memorial Board is directing the partner review process with the assistance of Juniper Advisory, a Chicago-based financial advisory firm. The firm is a leading national transaction advisor to nonprofit community hospitals on partnerships in an era of accelerating consolidation. The systematic approach offered by Juniper will make certain that all options and types of partnerships are considered and that Lenoir Memorial’s opportunities are fully understood. The Board is in the process of generating several objectives that will guide its selection of a partner. These criteria will be identified and discussed by the Board, then finalized over the next several months. Confidential discussions with a number of potential partners will begin in spring 2014, with the process expected to take 12-21 months to complete once those discussions have begun, as a variety of partnership models will be explored. “We recognize that the way healthcare is provided today – where it is offered, how it is paid for, how it is measured – is changing dramatically,” said Ray Collier, chairman of the Lenoir Memorial Board of Directors. “Reimbursement for care is declining, the care itself is shifting to more convenient outpatient settings, and more emphasis is being placed on keeping people healthy, not just treating them when they are sick. Hospitals and health systems, as well as physicians, are partnering in order to meet these new demands.” “We believe now, when Lenoir Memorial is financially strong, is the right time to look for a strategic partner,” continued Collier. “We can evaluate our choices from a position of strength and allow ourselves time to conduct a thoughtful and thorough review on our own terms.”
HealthLink - Fall 2013
Check out the latest edition of Lenoir HealthLink! Download the pdf.LEARN MORE
New physician joins medical staff
C. Aitor Macias, MD, has joined Wayne Jarman, MD, at Lenoir Surgical. Dr. Macias completed his medical degree at the University of Buenos Aires in Argentina. He completed general surgery residencies at CEMIC, and the Robert Wood Johnson Unversity Hospital, a part of Rutgers Medical School, in Piscataway, NJ. He obtained his Masters in Public Health from the University of Pittsburgh and a fellowship in minimally invasive surgery at the University of California in San Diego. He performs the majority of his surgeries laparoscopically.LEARN MORE
Hospital welcomes new physician
Michael Diamond, M.D., has joined the staff at Kinston Community Health Center. Diamond graduated from Wake Forest University with an undergraduate degree in Communications. He obtained his medical degree from the Brody School of Medicine at East Carolina University. He has a special interest in Pediatrics and Internal Medicine. Diamond completed his residency at Vidant Medical Center in Greenville, NC. He is single and he enjoys volunteering for community efforts such as sports physicals, health fairs, and legislation advocacy.LEARN MORE
Smith named PSEA of the Year
At the February Lenoir Memorial Board of Directors meeting, Chairman Ray Collier named Eveyln Smith, RN, Medical Oncology President's Service Excellence Award honoree for 2012. An excerpt from Smith's nomination read, "Evelyn Smith provides compassionate and quality care to the patients she servs on Medical/Oncolory on a daily basis. She exhibits outstanding interpersonal skills, which complement her ability to communicate in a clear, concise and accurate manner. when interacting with patients and staff. She has the ability to work very effectively and efficiently with cross funcational teams. She holds herself accountable high ethical standards and legal requirements setting an example to other staff." Congratulations Evelyln Smith!LEARN MORE
Women and Heart Disease
The feminine side of a healthy heart will be discussed with Dr. Shyamal Mitra of Kinston Medical Specialists. Bring your questions. This free session is open to the public. No registration required.LEARN MORE
Your Doctor Says You Need A Heart Cath
Learn the potential risks and lifesaving benefits of heart catheterizations. Dr. Pradeep Arumugham of Kinston Medical Specialists will discuss heart caths as well as a new procedure being done at Lenoir Memorial when blockages are found in the heart. Free to the public, bring your questions! No registration required.LEARN MORE