Billing information and financial assistance

Dignity Health Advanced Imaging
P. O. Box 742016
Los Angeles, CA 90074-2016

Dignity Health Medical Group - Bakersfield 
PO Box 748303
Los Angeles, CA 90074-8303

Dignity Health Medical Group - Dominican
PO Box 742513
Los Angeles, CA 90074-2513

Dignity Health Medical Group - Inland Empire
PO Box 743260
Los Angeles, CA 90074-3260

Dignity Health Medical Group - Merced
PO Box 742528
Los Angeles, CA 90074-2528

Dignity Health Medical Group - North State
PO Box 742413
Los Angeles, CA 90074-2413

Dignity Health Medical Group - Northridge Family Medicine
PO Box 740833
Los Angeles, CA 90074-0833

Dignity Health Medical Group - San Francisco
PO Box 742824
Los Angeles, CA 90074-2824

Dignity Health Medical Group - Sequoia 
PO Box 742852
Los Angeles, CA 90074-2852

Dignity Health Medical Group - Sierra Nevada
PO Box 742664
Los Angeles, CA 90074-2664

Dignity Health Medical Group - Stockton
PO Box 742413
Los Angeles, CA 90074-2413

Dignity Health Medical Group - Ventura County
PO Box 742063
Los Angeles, CA 90074-2063

Dignity Health Medical Group - Woodland Clinic 
P.O. Box 748217
Los Angeles, CA 90074-8217

Mercy Medical Group
P. O. Box 742016
Los Angeles, CA 90074-2016

Dignity Health Payment Assistance

If you are ineligible for a government program, you may qualify for our needs based Payment Assistance Program. You may also reach a customer service representative at (877) 427-7060.

• Woodland Clinic patients please call (866) 350-6339.

Government Program Resources for the Uninsured

The Foundation for Health Coverage Education (FHCE) offers a unique online tool to help you find health coverage. Answer five simple questions about your household and instantly receive a customized profile with information on public and private health plans for which family members in your household may qualify.

You can also call the U.S. Uninsured Helpline at (800) 234-1317.

Additional Government Resources

Finding Healthcare Coverage in California Booklet:  English    Spanish
COBRA:  Your Ultimate Health Coverage Guide

Dignity Health Medical Foundation will first bill the health insurance company on your behalf. If the bill is unpaid because the insurance company states you no longer have health insurance coverage, we will send you a bill. If you have changed insurance companies, contact us as soon as possible so we may change the information on file and bill the account correctly. If your health insurance coverage is through Medi-Cal, an HMO or Worker Compensation, you may not receive a bill. If your bill is denied or your insurance company determines that a portion of the bill is a patient responsibility, you will receive a bill.

For patients with health insurance: once your insurance company has been billed and has responded to us, we determine how much you may owe and bill you. Depending on how quickly the insurance company processes the bill, it may take several weeks for you to receive a bill.

Adjustment" (discount) refers to the portion of your bill that your provider has agreed not to charge. Insurance companies pay provider charges at discounted rate. The amount of the discount is specific to each insurance company. When the insurance company pays their portion, the discounted amount (adjustment) is taken off to show the true amount due from the patient (co-insurance). For example, a provider may charge $1,000 for a service hat your insurance has agreed to only pay $250. Of that $250, the patient would have to pay $50 if the patient's responsibility is 20%. After the insurance pays $200 and patient pays $500, the remaining $750 would be the adjustment.

Unfortunately, under a provision called coordination of benefits, the provider is required to bill the insurance that would be considered primary for you. Any health insurance for which you are the primary holder must be billed before any other health insurance.

While each insurance company is different, we generally expect full payment from your insurance company within 45 days of billing.

Once we receive a payment or denial from your insurance company, you will receive a statement showing the amount that is due from you. This amount should be the same amount noted on the Explanation of Benefits (EOB) you receive from your insurance company. This amount is due when you receive the statement. If you have questions, please contact your insurance company or our Customer Service number located on your billing statement. Please note that if your insurance company fails to make any payment on your account, we may ask for full payment from you.

Go to www.medicare.gov for more information on Medicare.

An Advance Beneficiary Notice (ABN) is a written notice from either the physicians, providers or suppliers, before they provide a service or item to you, notifying you:

• That Medicare may deny payment for the specific service or item

• The reason the physician, provider or supplier expects Medicare to deny the payment

• That you may be personally and fully responsible for payment if Medicare denies payment

• An ABN also gives you the opportunity to refuse to receive the service or item.

If you need help paying your bill, you may qualify for a government-sponsored program or Dignity Health Payment Assistance Program that may cover some or all of your balance. For more information, please call the customer service number listed on your billing statement.

Can I set up a payment plan? Yes. If you would like to set up a payment plan, please call the customer service number listed on your billing statement.