If Electronic Information Technology is used to process Financial Assistance Applications and/or implement presumptive eligibility criteria, this system shall be described (including the source of the system), along with a certification that each of the application requirements required under the Hospital Financial Assistance under the requirements are met. Fair Patient Billing Act Contact Person: For further information regarding this policy, please contact Pam Cassidy, Regional Director/Patient Financial Services at 630.312.7436. APPROVAL: Regional Executive Council (Date): 12/03/09; 12/02/10; 03/13/14, 12/01/15 Adventist Hinsdale Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist La Grange Memorial Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist GlenOaks Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist Bolingbrook Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15
If Electronic Information Technology is used to process Financial Assistance Applications and/or implement presumptive eligibility criteria, this system shall be described (including the source of the system), along with a certification that each of the application requirements required under the Hospital Financial Assistance under the Fair Patient Billing Act requirements are met. Contact Person: For further information regarding this policy, please contact Pam Cassidy, Regional Director/Patient Financial Services at 630.312.7436. APPROVAL: Regional Executive Council (Date): 12/03/09; 12/02/10; 03/13/14, 12/01/15 Adventist Hinsdale Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist La Grange Memorial Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist GlenOaks Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15 Adventist Bolingbrook Hospital Board of Directors 12/03/09; 12/02/10; 03/13/14; 12/01/15
FAP%20policy%20English_2.16.docx