Helpful Links & Frequently Used Terms

Frequently Used Terms:

Explanation of benefits (EOB) from insurance company

summary of the payment and the remaining balance owed. For questions about the amount paid or not paid by insurance company, contact insurance company’s customer service number located on the back of the insurance card or on the Explanation of Benefits letter.

No Surprise Act

By law, health care providers must provide patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.

Hospital-based clinic

Nebraska Medicine clinics are designated as hospital-based outpatient clinics. Hospital-based outpatient clinics operate under federal guidelines and are a nationally recognized model of practice. The designation simply means a hospital owns the practice and employs the staff involved in patient care. Hospital-based clinics are held to higher standards of care and are required to meet The Joint Commission accreditation standards for hospitals. The Joint Commission accreditation standards for hospitals are stricter than the standards set for non-hospital-based outpatient clinics. Visits to a hospital-based outpatient clinic result in two charges: one for hospital services and one for physician services.

Account number

A separate account number is generated for each outpatient service date and each inpatient admission. This allows to bill for specific charges and diagnosis related to each service date. For recurring outpatient accounts (like physical or radiation therapy) a separate account is generated monthly, not per appointment.

MXH

Clinical Research Support Fund is a write-off fund that will only allow the investigator to waive hospital billable items required for clinical and translational research, such as laboratory or radiologic tests, hospital bed costs or other hospital-based services. Funds cannot be used for marketing, patient recruitment costs, research supplies or non-hospital testing such as send-out tests. Nebraska Medicine, in partnership with the UNMC College of Medicine and the Center for Clinical & Translational Research has established the Clinical Research Support Fund, a mechanism to support research conducted within Nebraska Medicine on a competitive basis The intent of this program is to support investigator-initiated clinical and translational research, as well as underfunded federal studies and national cooperative group trials.​