{"hospital":{"ccn":"310075","name":"MONMOUTH MEDICAL CENTER","city":"LONG BRANCH","state":"NJ","zip":"07740","phone":"732-222-5200","ownership":"Voluntary non-profit - Private","website_domain":"rwjbh.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Patients with family gross income less than or equal to 200% of Federal Poverty Level (\"FPL\") are eligible for 100% charity care coverage.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":{"value":["NJ"],"layer":"documented","quote":"Residency Criteria Charity Care may be available to non-New Jersey residents, requiring immediate medical attention for an emergency medical condition.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"insured_patients_covered":{"value":false,"layer":"documented","quote":"Insured patients are not eligible for uninsured/true self pay rates.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":{"value":"www.rwjbh.org","layer":"documented","quote":"These documents are available on the RWJBarnabas Health website at (www.rwjbh.org).","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"To satisfy the criteria outlined in IRC §501(r)(6), RWJBarnabas Health allows individuals up to 240 days from the date the individual is provided with the first post-discharge billing statement to apply for financial assistance.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":{"value":60,"layer":"documented","quote":"In order to make a timely determination, the average timeline to complete the application is 60 days but may be longer.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Additionally, the Notification Period is the 120-day period, which begins on the date of the 1st post-discharge billing statement, in which no Extraordinary Collection Efforts (\"ECAs\") may be initiated against the patient.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"1-877-221-7809","layer":"documented","quote":"Contact customer service at 1-877-221-7809.","source_id":"summary-c247d5ade3474859","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English and in the primary language of any populations with limited proficiency in English that constitute the lessor of 1,000 individuals or 5 percent of the community served by the hospital."],"layer":"documented","quote":"The Financial Assistance Policy, Application and PLS are available in English and in the primary language of any populations with limited proficiency in English that constitute the lessor of 1,000 individuals or 5 percent of the community served by RWJBarnabas Health.","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Monmouth Medical Center, Inc. Patient Financial Services 300 Second Avenue Long Branch, NJ 07740","Monmouth Medical Center, Inc. dba Monmouth Medical Center – Southern Campus Patient Financial Services 600 River Avenue Lakewood, NJ 08701"],"layer":"documented","quote":"Monmouth Medical Center, Inc. Patient Financial Services 300 Second Avenue Long Branch, NJ 07740\nMonmouth Medical Center, Inc. dba Monmouth Medical Center – Southern Campus Patient Financial Services 600 River Avenue Lakewood, NJ 08701","source_id":"fap-7a9ae15e880f9db9","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-11f3e94633ec6b22","kind":"hospital_web","url":"https://www.rwjbh.org/documents/billing/BH-FAP1.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"11f3e94633ec6b225ca99c93725b849d46182ed6491015c15164c2f6558fe409","effective_date":null},{"id":"summary-c247d5ade3474859","kind":"hospital_web","url":"https://www.rwjbh.org/documents/bh/sbbh-fap-plain-language-summary-english.pdf","title":"Financial Assistance Policy Plain Language Summary","fetched_on":"2026-10-14","sha256":"c247d5ade3474859e44a9701bf44b0d1d841c20105e7e92beb1a2bc64124b736","effective_date":null},{"id":"billing-1b50be6f4629522e","kind":"hospital_web","url":"https://www.rwjbh.org/documents/billing/BH-Revenue-Cycle-Billing-and-Collections-Policy1.pdf","title":"[PDF] Revenue Cycle Billing and Collections Policy","fetched_on":"2026-10-14","sha256":"1b50be6f4629522e8d46618ede7b176faa3207f522a29e7db70d1a4aaf833d8b","effective_date":null},{"id":"fap-7a9ae15e880f9db9","kind":"hospital_web","url":"https://www.rwjbh.org/documents/billing/2025-RWJBarnabas-Health-System-Wide-FAP-Withum.pdf","title":"Financial Assistance Policy & Billing/Collection Policy","fetched_on":"2026-10-14","sha256":"7a9ae15e880f9db9a70250504528ffa62026a111d9f147f227df684020b4c21e","effective_date":null}],"accuracy":null}