Emergency Room or Hospitalization
Emergency room treatment or hospitalization is the only
exception to the advance authorization requirements. The patient
must, however, notify the Medical Unit at their local Health
Center within 72 hours (3 days) after receipt of emergency room
services. Also, after release, a copy of the patients discharge
form must be turned into the health center as well.
Upon registration at the hospital, you will be asked for insurance information. You should notify the hospital, not only of your health insurance/Medicare/Medicaid, but also of your eligibility for coverage through the Seneca Nation Health Department. The SNHS is always the payer of last resort, which means that we will cover what ever your insurance company does not. Part of your eligibility requirements for this coverage is that you must try to seek a separate form of coverage other than relying solely on the Seneca Nation Health System and Indian Health Services for payment. Please see a Patient Benefits Specialist at your local Health Center for assistance in meeting these requirements.
Occasionally, the patient may receive a bill from services
rendered outside the Health Center. In order to notify the
outside provider to submit the claim to the SNHS Contract Health
Services unit for payment processing, the billing statement must
be presented to the CHS unit as soon as it is received. If you
are eligible for Contract Health Coverage, and receive a bill,
please drop it off at the your local Health Center for