Thank you for choosing Gordon Memorial Health Services. We are committed to helping you understand your insurance coverage and financial responsibilities. Our team is here to support you with accurate billing, claim processing, and payment options.
Understanding Insurance
Prior Authorization and Pre-Certification
Some services require prior approval from your insurance company. This is called pre-certification or prior authorization. These rules vary depending on your insurance plan. Approval does not mean the services will be covered in full. Services will still be subject to your plan provisions like deductible, co-insurance, and copays.
Common services that may require prior authorization include:
- Certain Radiology Services (i.e. Ultrasound, CT, MRI, Dexa, Echo)
- Surgeries
- Outpatient Procedures (i.e. IV Infusions, Injections, Holter Monitors, Pulmonary Function Tests)
- Certain Prescription Medications or Specialty Drugs
- Hospital Admissions
We initiate the prior authorization with your insurance, but the final decision is made by your insurance provider. A response may take up to 15 days, or 72 hours for urgent cases.
In-Network Providers
Gordon Memorial Hospital, our clinics, and providers work with many major insurance plans. Visit our Network Status document to view the companies we are in-network with.
Please verify your plan’s network status before scheduling a visit. While we do our best to participate in as many networks as possible, it is your responsibility to:
- Understand what is covered under your plan
- Confirm that your plan is accepted
- Verify coverage before a scheduled visit
Special Note for Veterans
The VA must authorize care before your visit. Only the VA can initiate these authorizations.
If you receive emergency care at our hospital, a 72-hour notification must be made to the VA. This can be completed by the patient or a family member by calling 844-724-7842. If the notification is not completed, the VA will not provide payment.
We can help with this process if your ER paperwork clearly states you are a veteran and are requesting VA payment.
Billing & Claims
We will file claims with your insurance company using the insurance information you provide. Once your claim is processed, you will receive a statement from Gordon Memorial Health services for any amount your plan does not cover. This amount is called member responsibility, which may include:
- Deductibles
- Copays
- Coinsurance
Please refer to your insurance benefits packet or our How Insurance Pays Medical Expenses document for more details.
If you believe a bill is incorrect, contact our billing team at 308-282-0401, Monday through Friday, 7:00 AM to 5:00 PM.
Ways to Pay
- In Person- visit our Business Office during business hours to make a payment in person
- By Phone- Call 308-282-0401 to make a payment with credit or debit card
- By Mail- Send a check with your account number written in the memo line
- Online- Use our secure PersonaPay portal to pay your bill anytime from anywhere.
We want to make paying your bill as simple as possible. Ask us about our paid-in-full reductions and interest-free payment plans.
Financial Assistance and Support
If you are struggling to pay for medical services, please reach out. You may qualify for financial assistance based on income, insurance status, or other factors. Please call our Business Office at 308-282-0401 for more information.
Downloadable Resources
Government Progams
To ensure we can best assist you, please contact us within 30 days to discuss your plan for payment or assistance.
Contact Us
If you have any questions or need help with your account, please don’t hesitate to reach out. We’re here to help and grateful for the trust you’ve placed in us.
308-282-0401
businessoffice@gordonmemorial.org
300 E. 8th Street, Gordon, NE 69343