Pre-certification and authorization
Your health plan may require you to get its approval before you receive certain services. It is important for you to know your plan's specific authorization requirements to receive the maximum benefits allotted for services performed. It is your responsibility to obtain authorization for outpatient procedures. Mayo will notify your insurance company for all hospital admissions.
Before your visit to Mayo Clinic, review your health benefits booklet or call your health plan to verify your benefits and the plan's requirements. As a courtesy, our Pre-Certification staff can help you obtain approval for services provided at Mayo and can initiate authorization or the predetermination process. Procedures that your health plan considers experimental, elective or cosmetic may require additional clinical documentation to be submitted for review. The authorization process can take up to 72 hours, and the predetermination process may take up to eight weeks.
Itemized statement of charges
After each episode of care, Mayo Clinic will send you an itemized statement detailing your charges. This document is not a bill. It will provide the detailed visit information that will not appear on your Monthly Statement of Account (see below). Please keep this information for your records. The Itemized Statement of Charges includes:
- An itemized list of all your charges
- Identification of and information concerning your health plan, if applicable
Monthy Statement of Account
The Monthly Statement of Account, which looks different than the itemized statement, is your bill. Each account has a Billing Addressee (guarantor) who is responsible for payment. The billing addressee will receive a statement listing all accounts for which he or she is responsible. The Itemized Statement of Charges received after each visit will help the billing addressee understand the totals listed in the Monthly Statement of Account.
The Monthly Statement of Account has the following important features:
- Lists the payments and adjustments made on each account since your previous monthly statement
- Summarizes the amount under consideration by your health plan, if applicable
- Clearly marks the current amount due
Billing questions and answers
How can I make a payment on my account?
You may pay by check or credit card by mailing your payment and the top portion of your Mayo Clinic statement to P.O. Box 790124, St. Louis, MO 63179-0124. You also may enroll in online services to view your itemized and monthly statements and to pay your balance. To enroll, request an online services agreement from Registration.
What if I receive a check from my insurance company?
If your insurance company issues you a check for services rendered at Mayo Clinic and a balance remains on your account, we prefer you deposit the payment into your account and write a personal check payable to Mayo Clinic. Please mail your personal check to P.O. Box 790124, St. Louis, MO 63179-0124.
What if I have a question about my Mayo account?
Call the Patient Account Service Center at 904-953-7058. Office hours are Monday through Thursday, 8 a.m. to 4 p.m. ET, and Friday, 8 a.m. to 3 p.m. ET. You may schedule a 30-minute appointment at Mayo Clinic (Davis Building) by calling 904-953-6945. Office hours are Monday through Friday, 8 a.m. to 5 p.m. ET. You may also write to Mayo Clinic, PFS Inquiries, 4500 San Pablo Road, Jacksonville, FL 32224.
Jan. 31, 2014