An individual who has submitted a completed Financial Assistance Application, including all information and documents requested on the Application form.
The adjusted gross income and cash benefits from all sources before taxes of all persons legally obligated to pay the charges incurred, less payment of child support.
The aggregate number of personal exemptions allowed under federal tax law on a federal income tax return which was filed or could have been filed for the most recent calendar year and on which the Patient or Guarantor is one of the persons for whom a personal exemption is allowed, unless a Patient can establish a civil union pursuant to state law.
The person who receives care from RHMPI and the person who is the Guarantor of the payment for services received from RHMPI.
A patient not covered under a policy of health insurance and is not a beneficiary under a public or private health insurance, health benefit, or other health coverage program including high deductible health insurance plans, workers’ compensation, accident liability insurance, or other third party liability insurance.
This policy and procedure shall be periodically reviewed and updated consistent with the requirements and standards established by the Board of Directors and the RHMPI CEO, as well as federal and state laws and regulations.