{"hospital":{"ccn":"100364","name":"ADVENTHEALTH RIVERVIEW","city":"RIVERVIEW","state":"FL","zip":"33578","phone":"813-929-5962","ownership":"Voluntary non-profit - Private","website_domain":"adventhealth.com","system":null},"version":5,"status":"published","eligibility":{"free_care_max_fpl":{"value":"250","layer":"documented","quote":"To qualify for a 100% reduction in your financial responsibility, you must have received emergency or medically necessary care and have an annual household income that does not exceed 250% of the Federal Poverty Guideline, according to the table below.","source_id":"fap-1c102478d8c675dc","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"250","max_fpl_inclusive":"400","discount_percent":98}],"layer":"documented","quote":"Patients with household incomes that exceed two hundred fifty percent (250%) of the current Federal Poverty Guidelines but are less than four hundred one percent (401%) shall be granted the below discounts: \n            ▪ Uninsured patients with household incomes between two hundred fifty-one percent (251%) and four hundred percent (400%) of Federal Poverty Guidelines would be granted a ninety-eight percent (98%) discount on applicable balances.","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return"],"layer":"documented","quote":"Supporting documentation can include, but is not limited to, most recent year's tax return, a current W-2, notarized letter of support, etc.","source_id":"application-849ee81bcff8d62b","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"AdventHealth, Attn: Financial Assistance, PO Box 935979, Atlanta, GA 31193"},{"kind":"email","detail":"Financialassist@medsrv.co"},{"kind":"portal","detail":"https://account.adventhealth.com/login or AdventHealth App"}],"layer":"documented","quote":"How to Submit Your Application Mail AdventHealth, Attn: Financial Assistance, PO Box 935979, Atlanta, GA 31193 Email Financialassist@medsrv.co (only two letters after the period in the email address) Patient Portal https://account.adventhealth.com/login or AdventHealth App Questions? 800-462-0490","source_id":"application-849ee81bcff8d62b","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Identification of Potentially Eligible Individuals. Requests for financial assistance will be honored up to two hundred forty (240) days after the date of the first post-discharge billing statement, sent by mail or electronically to the patient, for the care provided.","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"o One hundred twenty (120) days from the date the entity provides the first post-discharge billing statement for the care provided, AdventHealth may engage in ECAs including but not limited to selling debt to a third party (see section D of this policy for more information regarding debt sale) only after the following notifications have been provided to the individual at least thirty (30) days before initiating any ECAs:","source_id":"fap-849172864f0b3d8d","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"800-462-0490","layer":"documented","quote":"Questions? 800-462-0490","source_id":"application-849ee81bcff8d62b","checked_on":"2026-10-09","confidence":1.0,"support_count":0},"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"application-849ee81bcff8d62b","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/short_financial_form-english.pdf","title":"Financial Assistance Application","fetched_on":"2026-10-09","sha256":"849ee81bcff8d62b507d780991636b7ce28830bf30dc35123d0ee4a74d007b8c","effective_date":null},{"id":"fap-1c102478d8c675dc","kind":"hospital_web","url":"https://www.adventhealth.com/hospital/adventhealth-orlando/legal/financial-assistance","title":"Financial Assistance | AdventHealth Orlando","fetched_on":"2026-10-09","sha256":"1c102478d8c675dce6d2dbf33d2eea5d8ac549b7d3322c9dbf1899a11c540489","effective_date":null},{"id":"fap-82f9ea3dd06480ac","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_greek_0.pdf","title":"View PDF","fetched_on":"2026-10-09","sha256":"82f9ea3dd06480ac8baaff564a6787ae6501f5719e80005269cc91b2870f4ff2","effective_date":null},{"id":"fap-849172864f0b3d8d","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/cw-f-50.1-financial-assistance-05282026.pdf","title":"View PDF","fetched_on":"2026-10-09","sha256":"849172864f0b3d8d562b8631d6773b9b1e4e964e71953797204dd3f33f357548","effective_date":null},{"id":"fap-ed42d666e01769b7","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_chinese.pdf","title":"View PDF","fetched_on":"2026-10-09","sha256":"ed42d666e01769b748a60bc3577f414071f8f1703dbab24085bd7082959db706","effective_date":null},{"id":"fap-ed4fd4f9a2ec7211","kind":"hospital_web","url":"https://www.adventhealth.com/sites/default/files/assets/adventhealth_financial_assistance_packet-2025_arabic.pdf","title":"View PDF","fetched_on":"2026-10-09","sha256":"ed4fd4f9a2ec7211a89ade123299f7e10517da41ba6e73c0d1974b845ecb4165","effective_date":null}],"accuracy":null}