Payment Information
Billing statements are mailed approximately every four weeks. In addition to cash or personal check, FRHS accepts VISA, MasterCard, Discover and automatic bank withdrawal for those who qualify.
Payment-in-full Option: FRHS offers two different discounts for payment in full. To receive a 5% discount, pay the balance in full within 30 days from the date on the first self-pay statement sent to you; or for a 2.5% discount if payment in full is sent within 60 days. We request that all balances under $50.00 be paid in 30 days.
30-60-90 Day Option: Pay your account balance over a 90 day period and avoid finance charges. You must pay 1/3 of your outstanding balance each month. Your first payment is due within 30 days of your first self-pay statement. If you have any questions, please contact Customer Service.
Monthly Payment Option: If you need more than 90 days to pay your account balance, select this payment option. There will be an interest or finance charge, of one percent (1%) per month added to all charges that remain unpaid after ninety (90) days. This is an open-end credit agreement. You will be able to add future self-pay balances once you have established your account. Monthly payments are determined as follows:
If your balance is between: |
Your monthly payment is: |
$ 0.00 - $750.00 |
$ 50.00 |
$ 751.00 - $1,500.00 |
$ 100.00 |
$1,501.00 - $2,500.00 |
$ 150.00 |
$2,501.00 - $3,500.00 |
$ 200.00 |
For amounts greater than $3,500.00 |
Monthly payment increases by $50.00 for each additional $1,000.00 |
Patient Financial Assistance Option: FRHS offers a financial assistance program to those patients with limited financial resources. Contact Customer Service.
It is important that you select one of the payment options listed above. If your account balance is not paid in full within 90 days or if you have not followed the payment policy guidelines, your account may be referred for further collection action.
Payments should be sent to the following address:
Faith Regional Health Services
Attention Patient Accounts
PO Box 869
Norfolk, NE 68702-0869
For assistance with payment of your account or if you have any questions regarding your insurance, please call Customer Services at (402) 644-7145. Please listen for the options to guide you.
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