Billing

Hospital Billing: (406) 444- 2185
Home Health or Hospice Billing: (406) 447- 2718
St. Peter's Physician Clinics: (406) 447-2828

Hours:
8am–4:30pm Monday through Friday

Paying For Your Health Care

Understanding your responsibilities and St. Peter’s commitment

Billing and payment for health care services can be confusing and complicated. Billing professionals are available assist  with information on how your bills are processed.

The information below is designed to help you understand what St. Peter’s can do to assist you, what you can do to assist the hospital and your insurance plan, and how St. Peter’s can help if you have difficulty paying your bills.

Your responsibilities:

Authorization of services

Most health plans require authorization, particularly for elective services, and may require you to notify your primary care physician. It is your responsibility, with the assistance of your physician’s office staff, to obtain any preauthorization from your health insurance company.

Failure to get the proper authorization may cause your insurance to pay at a reduced rate or to deny the claim. If your insurance company decides your service was not medically necessary, is a pre–existing condition, or is not a covered service, you will be asked to pay at the time of service.

Medicaid Passport patients

There are services that require authorization from your primary care physician prior to receiving those services. You will need to check your Medicaid participant handbook to find the list of services and get the authorizations prior to coming for treatment.

Examples of these services are Physical Therapy, Speech Therapy, and Emergency Department Treatment for certain health conditions. If you are unable to locate this list, contact your county case worker for the information.

Before you come

Prior to your hospital or clinic visit, check with your employer or insurance company to see if you have access to health care services at St. Peter’s. Otherwise you may be responsible for all or a large portion of your bill.  St. Peter’s accepts most insurance companies, Medicare, and Medicaid.

Bring your health insurance information

Bring your complete health insurance information when you register. This includes identification, all insurance cards, and authorization forms. We will ask you to sign forms, such as a release of information, and possibly additional forms, depending on your visit.

Inform us of changes

If you are a current patient, please inform the billing department if personal or insurance information has changed since your last visit. The lack of current information can cause payment delays or denials that may ultimately leave you responsible for payment.

Making co–payments

Co–payments for both physician and hospital care and other balances are due on the day you receive services. Depending on your insurance coverage, you may need to pay for estimated coinsurance or deductibles related to your care. If you have any questions regarding your co-payments or deductibles, please call your insurance company.

Making deposits

For certain procedures not covered by insurance, you may be required to pay a deposit or pay for the service in full prior to your care.

Consent = financial responsibility

The person who consents to medical treatment will be financially responsible for the bill, including legal guardians of a child.

Medicare patients: what to expect

If you are a Medicare patient, you will be asked a series of questions regarding your status, including other insurance you may have and your retirement dates. These questions are required by law and must be asked each time you visit us. If you are covered by Medicare, we will submit your claims to Medicare on your behalf.

When Medicare does not cover a service

Medicare requires that hospital’s provide only those services approved by Medicare as deemed medically necessary. In the event the service is not covered by Medicare  you may be asked to sign a notice that makes you financially responsible for the services provided.

Additionally, you and/or your supplemental insurance carrier will be billed for services not covered by Medicare, such as self–administered medications and routine health exams. However, if neither covers these services, you will be responsible for payment for these services.

Workers Compensation, auto accident or other liability claims

Like any other insurance claim submitted, your liability insurance does require certain information on the billing form in order to pay the claim. This includes but is not limited to insurance name and address, insurance claim agent information, accident dates, and claim numbers.

At the time of admission you will be given a letter explaining the information that is required to bill your claim. If the information is not received by the time the bill is ready to send to your insurance company, a second request will be sent. Communication on liability claims between the patients and their Patient Account Representatives is very important. If you fail to provide all of the necessary information, you will be responsible for payment in full on the account.

After your visit

Respond promptly to requests from your insurance company for additional information. These requests must be handled before payment can occur. Failure to respond may cause your claim to be denied by your insurance company.

We bill your insurance directly

For services typically covered by insurance, your primary insurance company will be billed, and, if applicable, your secondary insurance company as a courtesy. This includes Medicare and Medicaid.

It is important to remember that health insurance coverage varies and some services may not be covered. If you have questions regarding your health insurance coverage, please call your insurance company to better understand how your policy works prior to receiving care at St. Peter’s.

Call us with billing questions

If you have any questions about your bill, please contact our Patient Business Services Department and request to speak with a Patient Account Representative Monday through Friday from 8am to 4:30pm. Please use the numbers listed at the top of this page.

Who can discuss a bill

Confidentiality is important. Patient Account Representatives may only speak with the patient or the person designated in writing by the patient to receive the bill(s) on behalf of the patient. This is required by both federal and state law. To share your medical records with another party, you can complete the Authorization of Disclosure of Healthcare Information form attached at the bottom of this page.

Have your statement on hand

To help answer your questions efficiently, have a copy of your statement, insurance card(s), and any additional information available. Please note call times are heaviest on Mondays.

Mailing instructions

To ensure that your account is properly credited, tear off the bottom or top portion of your bill and mail it in the envelope provided. If paying by check, write your account number on the check.

A word about St. Peter’s billing statements

You may receive more than one bill for your hospital or clinic visit from St. Peter’s, due to the many different physician groups and services available within the St. Peter’s system. Please verify all of the insurance information on the statement. If you find incorrect information, contact Billing immediately.  Each bill will identify who the bill is from, and you will need to contact the appropriate billing entity.

The following is a list of St. Peter’s providers:

St. Peter’s Hospital

St. Peter’s Physician Clinics

APEX of St. Peter’s

Home Link/Hospice of St. Peter’s

Community–based physician bills

You may receive separate bills from certain community–based physician groups who provide professional services and bill separately from St. Peter’s. Please contact these physicians separately with any questions.

Summary of services

The first statement that you receive will be sent to you at the same time your insurance is billed. This statement provides a summary of services provided to you or your family member. If you need a more detailed breakdown of these services, contact the Patient Account Representative listed on the bottom of the statement.

Statements for unpaid balances

If your insurance company does not pay the entire bill, you will receive a statement  notifying you of any remaining unpaid balances. Payments in full for all self pay balances are due within 30 days. If you are unable to pay in full, contact your Patient Account Representative.

Methods of payment

For your convenience, cash, checks, and all major credit cards are accepted for payment. Payment is due 30 days after you receive a statement.

Can’t pay a bill? We can help

If you cannot pay a bill in full, Patient Account Representatives can assist you by describing monthly payment plans and other financial assistance programs available for those patients who meet certain financial criteria. They can also refer you to government–sponsored programs.

Overpayment questions

Please contact the Patient Business Services department with questions regarding overpayments. If applicable, overpayments will be applied to other outstanding balances.

If you have a question about your bill, you may contact a service representative at one of the numbers listed at the top of this page.

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