Does WakeMed offer financial assistance for patients without insurance?
For those patients that do not have access to insurance, Medicare or Medicaid, WakeMed offers financial assistance in the form of discounts or reductions to our standard charges. Also as a courtesy, we’ve provided some general information to help patients begin to understand the complex world of health care billing.
What is the main contact number for Wake County Animal Hospital?
The main contact number for Wake County locations outside of Raleigh, Cary, Holly Springs or Garner is 919-212-PETS. This is a printable list that can be provided to a patient.
How to find local outpatient mental health providers in Wake County?
Residents of Wake, Johnston, and Durham Counties may call 1-800-510-9132 for outpatient referrals and treatment options. This is a printable document listing local outpatient mental health providers who accept Spanish Speaking clients. Comprehensive guide that covers mental health/substance abuse disorders and when to seek treatment.
What is the phone number for emergency hospital in Durham NC?
Hospital located at 508 West Fulton St. Durham NC Contact number 919-286-0411 or 1-888-878-6890. Contact number for the social services department is 919-286-6974.
How to report child abuse in Wake County?
To report the abuse or neglect of a child call the county DSS where the patient resides during normal business hours. (919-831-6311 after hours, weekends & holidays) In Wake County the after hours CPS worker can be contacted directly at 919-723-6776. Chronic Pain. Service: Chronic Pain.
What is the number to call for adult protective services in Wake County?
Adult Protective Services. Contact the county where patient resides to report abuse, neglect or exploitation of an elderly or disabled adult. (919-831-6311 after 5p, weekends & holidays) Wake County-after hours report can be given to the CPS worker on call at 919-723-6776. ...
Where is the VA clinic in Durham NC?
VA Medical Center- Durham. Hospital located at 508 West Fulton St. Durham NC Contact number 919-286-0411 or 1-888-878-6890. Contact number for the social services department is 919-286-6974.
Where is Family Promise in Wake County?
Short term shelter for couples with or without children or single women with children. Pt must call 919-832-6024 or present to 903 Method Road, Raleigh for intake Monday-Thursday 9am-5pm. Urban Ministries of Durham. Nine family rooms available, referrals accepted.
What is the number to call for animal bites in Nash County?
Nash County Animal Control. To report a animal bite during normal business hours please call 252-459-9855, after hours/weekends please contact the Nash County Sherriff's office at 252-459-1511. Wake County Animal Control. Call must be made to the jursdiction that covers the current location of the animal.
What is a complaint?
File a complaint (grievance) Filing complaints about a doctor, hospital, or provider. Filing complaints about your health or drug plan. Filing a complaint about your quality of care. Complaints about your dialysis or kidney transplant care.
What is the difference between a complaint and an appeal?
What's the difference between a complaint and an appeal? A complaint is about the quality of care you got or are getting. For example, you can file a complaint if you have a problem calling the plan, or you're unhappy with how a staff person at the plan treated you. You file an appeal if you have an issue with a plan's refusal to cover a service, ...
Can you file a complaint with Medicare?
You can file a complaint if you have concerns about the quality of care or other services you get from a Medicare provider. How you file a complaint depends on what your complaint is about.
What is an improper care complaint?
Improper care or unsafe conditions. You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns).
How to file an appeal with Medicare?
For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or log into your secure Medicare account . You can file an appeal if you disagree with a coverage or payment decision made by one of these: 1 Medicare 2 Your Medicare health plan 3 Your Medicare drug plan
When will NC Medicaid transition to managed care?
On July 1, 2021, NC Medicaid transitioned to Medicaid Managed Care Health Plans. As part of this transformation, the majority of Medicaid members are now in a Medicaid Managed Care plan. Of the five Medicaid managed care plans in our region, WakeMed currently has a contract with the following: Carolina Complete Health.
What is the phone number for Careline?
If you have questions related to your insurance plan, we encourage you to call Customer Service 919-350-8359 . The CareLine is a central resource for any insurance verification and preauthorization issues. The hours of operation are Monday - Friday, 7:30 am - 12:00 pm and 1:00pm - 5:30 pm.
How to contact a medicaid broker?
If you don’t have internet access, you can call a Medicaid Enrollment Broker to enroll. The call is toll free. Phone: 1-833-870-5500 (TTY: 1-833-870-5588). Hours of operation: 7 a.m. to 5 p.m., Monday through Saturday. We continue discussions with the other three Medicaid managed care plans available in our area.
What is Compcare Network?
Compcare Network (Key Risk Management Services) Multiplan, Inc. If you have questions related to your insurance plan, we encourage you to call Customer Service 919-350-8359 . The CareLine is a central resource for any insurance verification and preauthorization issues.
Does WakeMed require prior authorization?
WakeMed must get prior authorization to be paid for almost all services . If WakeMed is out of network, it is unlikely that we will receive authorization. This means you may not be able to receive non-emergency care from WakeMed hospitals and providers.
Is emergency care covered by medicaid?
Emergency services are covered regardless of your plan at any emergency department. You will be required to seek non-emergency care from specific doctors, hospitals and health care organizations that are in-network with your Medicaid managed care plan.
Does WakeMed have Medicare?
WakeMed contracts with a wide variety of managed care plans and insurance companies, while also participating in the government programs of Medicare and Medicaid. Following find a list of plans offered in our market currently accepted at WakeMed's facilities & physician practices.
How to contact WakeMed?
How to Contact our Patient Financial Services Team with Specific Questions: 1 Cost Estimates: To receive an estimate of charges for future service, call 919-350-7808 or fill out this form. Listen carefully to the menu options and choose the one that best meets your needs. Please keep in mind that this is only an estimate. Actual charges may vary depending on the treatment your physician orders for you. 2 Billing Questions: WakeMed provides billing customer service by phone at 919-350-8359 or toll free at (877) 498-4490. The call center business hours are Monday - Friday 7:30 am - 12:00 pm and 1:00 pm - 5:30 pm.
What is a DRG in Medicare?
DRG (or MS-DRG): A DRG (diagnosis-related group) is the system Medicare and some insurance companies use to classify and categorize charges for inpatient hospitalization. The DRG is based on a patient’s diagnoses and surgery when performed.
What is hospital charge?
Charge: Hospital charges include many factors such as equipment, supplies, medications as well as the differences in care required to meet individual patient needs. Hospitals are required to determine a set charge for tens of thousands of items. These charges are maintained in the Chargemaster.
How to contact patient financial services?
How to Contact our Patient Financial Services Team with Specific Questions: Cost Estimates: To receive an estimate of charges for future service, call 919-350-7808 or fill out this form. Listen carefully to the menu options and choose the one that best meets your needs.
Is WakeMed liable for out of pocket costs?
If you proceed with services at WakeMed, you may be given a new estimate with more accurate cost and out-of-pocket information. Please contact 919-350-7808 for more information. WakeMed shall not be liable for any difference between charges listed in the price lists and the final bill for services.
Is the hospital charge accurate in 2021?
All charges shown are accurate as of January 1, 2021. While our hospital charges are the same for all patients, the actual amount billed and/or your financial obligation will vary greatly – depending on the specific services provided for each visit and the type of insurance you have.
Is WakeMed in network?
You should contact your insurer or review your insurance benefits documents to confirm whether WakeMed is considered “in network” for your insurer and to understand the amount your insurer will expect you to pay before you schedule a “shoppable service” at WakeMed.