Will Upland Hills Health file my insurance claim(s)?
Yes, as a courtesy, we will submit a claim to your insurance. We do not guarantee payment by your insurance company. It is important that you provide accurate and complete insurance information at the time of registration. It is your responsibility to provide any requested information to your insurance company (accident information, claim forms, other health information or pre-existing condition information).
We also submit secondary claims on your behalf. Secondary claims are only submitted after your primary claims have completed processing.
Will I receive an itemized statement?
If you wish to receive an itemized statement, please call our Patient Benefit Specialist team at 608.930.8000 ext. 4145.
What if I cannot pay my bill in full after insurance processes my claim?
Payment of your bill is due within 30 days of the patient balance appearing on your statement. However, our Patient Benefit Specialist team can work with you to arrange a reasonable payment plan. Please call our Patient Benefit Specialist team at 608.930.8000 ext. 4145.
I don't have insurance. Is there any help available?
For assistance, please contact our Patient Benefit Specialist team at 608.930.8000 ext. 4145. They will assist you with information on programs that may be available to you or will give you advice about how to proceed. If you do not qualify for any type of government programs, we can review your financial status to see if you qualify for Uncompensated Care.
Can I find out how much a medical service will cost?
If you would like to request a price estimate, please contact our Patient Benefit Specialist team at 608.930.8000 ext. 4145.
In order to provide you with an accurate estimate of services, you should obtain information from your physician about the procedure that has been ordered.
Please note you will be given an average cost or a price range rather than a specific estimate. The final charges are based on a variety of factors related to the clinical services provided.
How will I know if my insurance company has paid my bill?
If there is a balance due from you after the insurance company has paid its portion, we will send you a statement. This statement indicates the amount that has been paid and any balance you are required to pay. This is your bill, which you are required to pay in full or set up payment arrangements by contacting our Patient Benefit Specialist team at 608.930.8000 ext. 4145.
How do I know if my insurance company will cover my visit or certain services?
Coverage varies with each insurance company. Please refer to your insurance member handbook or call your insurance company with questions. Medically necessary and appropriate services may not always be covered by your insurance contract.
Why am I receiving a bill for services authorized by or covered by my insurance?
Your insurance plan is a cost-sharing agreement between you and your insurance company. An insurance authorization is not a guarantee of payment. Generally, many insurance companies cover the costs for preventative care throughout the year, such as check-ups, vaccinations, etc.
For other services, insurance companies may require you to cover all the costs until you reach a specified amount, known as a deductible. Once you reach that specific amount, then the insurance company starts paying for covered services.
If you believe your insurance should be paying on your services, or if you have other questions about your insurance coverage, you should contact your insurance company directly.
What should I do if I disagree with how much my insurance company has paid on my bill?
If you have questions regarding payment, call your insurance company for an explanation of payment. If the insurance company finds that an error was made, note the information and whom you talked to at the insurance company. Request an anticipated payment date and ask if they need any further information to complete processing. If the insurance company feels the bill was paid correctly and you still disagree, find out from the insurance company what you need to do to file an appeal with them. Filing an appeal will not guarantee more will be paid on your bill, but the claim will be reviewed for reconsideration.
Why is this billed as an outpatient service when I spent the night in the hospital?
- You are an inpatient when the hospital formally admits you with a doctor’s order.
- You are an outpatient if you are getting emergency or observation services (which may include an overnight stay in the hospital or services in an outpatient clinic), lab tests, or x-rays or imaging tests, without a formal inpatient admission.
For an account to be billed as an inpatient service, there must be a physician order and, if you use Medicare insurance, specific Medicare requirements must be met. The physician who ordered your services determined that your condition did not meet Medicare’s requirements for an inpatient admission. The physician’s written order dictates whether we bill as an inpatient or outpatient.
I received care at Upland Hills Health and received several bills. Why don't you put all of the charges on one bill?
Upland Hills Health’s statements reflect hospital charges and Upland Hills Health physician charges. Radiologist and pathologists will bill separately for their services (they are not Upland Hills Health physicians). Should you have any question concerning their bills, please contact them directly. If you receive a billing statement and have not visited us as a patient, this bill may be for lab specimens sent to us by your physician.
Why do I have more than one account number?
Each time you receive services from Upland Hills Health–inpatient or outpatient services (such as physical therapy, medical imaging procedures, urgent care, emergency room care, clinic services, etc.), a separate account is created. It si possible to have multiple accounts open at the same time.
What do I need to pay for at the time of my appointment?
You are asked to come prepared to pay for all known patient expenses, such as co-payments, deductibles, co-insurance or non-covered amounts. If you are not able to pay in full at the time of service, our Patient Benefit Specialist team can help you arrange a reasonable payment plan.
Why do you need to scan my insurance card every year if nothing has changed?
We scan all patients’ insurance cards every year to ensure all of your personal and billing information in our records is up-to-date. This ensures your claims can be submitted in a timely and accurate manner.
