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Home » Patient Resources

Patient Resources

Amberwell Health

These policies and resources apply to all Amberwell Health locations:

  • Financial Assistance
  • Privacy Policy
  • Patient Protection Against Surprise Billing
  • Data Use Policy
  • Patient Request For Special Communication
 

Amberwell Atchison

These policies and resources apply to Amberwell Atchison, Amberwell Eighth Street Clinic, Amberwell Horton, Amberwell Lansing Clinic, and Amberwell Troy Clinic locations:

  • Adult Review of Systems
  • Medical Record Release Authorization
  • Patient Demographic Form
  • Patient Handbook
  • Patient Medical History
  • Patient Rights
  • Pediatric Review of Systems
  • Patient Payments Information
    • Payment Plan Agreement Form
  • Price Transparency
  • Right to a Good Faith Estimate
  • Amberwell – Atchison – Standard Charges Machine-Readable File

Amberwell Hiawatha

These policies and resources apply to Amberwell Hiawatha and Amberwell Highland Clinic locations:

  • Medical Record Release Authorization
  • Patient Payments Information
  • Price Transparency
  • Right to a Good Faith Estimate
  • Amberwell – Hiawatha – Standard Charges Machine-Readable File

Frequently Asked Questions

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  • How do I know that the amount you are billing me is the correct amount?
  • Why is everything so expensive?
  • Why does my bill show that I was admitted if I never was admitted to the hospital?
  • What if I receive another bill with increased charges?
  • What if I cannot pay the entire balance due as reflected on my statement?
  •  Can I pay my bill with a credit card?
  • What if I am unable to make the full payment? Can I set up a payment plan?
  • How do I sign up for Financial Assistance?
  • What if I cannot pay or I do not have Insurance? 
  • How can I make a payment?
  • How will I know how much I will need to pay?
  •  I received separate bills from the hospital and the physicians. Why did I receive so many bills?
  • Why did my billing statement have an adjustment amount?
  • I received a billing statement, but all it shows are total charges. Can I ask for an itemized bill?
  • I was in the hospital several weeks ago, why haven’t I received a bill?
  • Why am I being asked for my insurance information again?

Amberwell Health is an innovative healthcare system with a mission to sustain and strengthen rural healthcare organizations.

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