{"hospital":{"ccn":"390142","name":"JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL","city":"PHILADELPHIA","state":"PA","zip":"19141","phone":"215-456-6090","ownership":"Voluntary non-profit - Other","website_domain":"jeffersonhealth.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% financial assistance (free care).","source_id":"application-6dffe41a793899ba","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Patients may also be presumed presumptively eligible for Financial Assistance if they are: (1) homeless or receiving care from a homeless clinic; or (2) eligible for out-of-state Medicaid programs.","source_id":"application-6dffe41a793899ba","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Financial assistance determinations shall be made as soon as possible, but no later than thirty (30) working days from the date a completed Application is received.","source_id":"application-6dffe41a793899ba","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Notification Period: 120-day period, which begins on the date of the first post-discharge billing statement, in which no ECAs may be initiated against the patient.","source_id":"application-6dffe41a793899ba","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"application-6dffe41a793899ba","kind":"hospital_web","url":"https://www.jeffersonhealth.org/content/dam/health2021/documents/forms/english-financial-assistance-documents/financial-assistance-policy-billing-collection-policy12754.pdf","title":"[PDF] Financial Assistance Policy and Billing and Collection Policy, 127.54","fetched_on":"2026-10-13","sha256":"6dffe41a793899ba1035b37a921c75144e7b7005afcf32cfbebc2d46d6cade2a","effective_date":null}],"accuracy":null}