Health insurance billing
As a courtesy to you, HealthEast will bill your insurance company, provided that you submit all the necessary information. You are responsible for any portion of your charges remaining unpaid by your insurance company. This includes non-covered services and any patient responsibility. Most insurance companies require patients to pay a portion of their doctor’s bill or hospitalization costs. The patient’s responsibility can be described as a co-payment, co-insurance or deductible.
Contact HealthEast Billing
Call customer service with questions: 651-232-1100
Online bill payThe balance on your account is due within 30 days of your statement.
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We accept most insurance plans, including: Blue Cross Blue Shield, HealthPartners, Medica, PreferredOne, UnitedHealthcare, UCare and Medicare/Medicaid.
You will be asked to pay your co-pay amounts prior to your appointment, procedure or admission. It is your responsibility to be aware of any exclusions, benefits, co-payments and deductibles outlined in your insurance plan. You may also be responsible for services rendered by other providers. These include anesthesiologists, radiologists and pathologists. We will share your billing information with those providers so that they can file a claim with your insurance company directly.
HealthEast has designated its main campus and affiliate services as hospital outpatient departments. Patients will receive two separate bills: one for the health care provider, and the other to cover the costs of providing non-physician staff, equipment, and supplies. You may have a co-pay and/or a coinsurance amount depending on your benefits.
If you are scheduled for services, we encourage you to pre-register for those services. During pre-registration, you will be asked to provide demographic and insurance information. Providing the correct information allows us to process your insurance claim quickly and accurately.
On the day of your service, you will be checked in and promptly directed to your department for service. You will need to present your insurance card(s) at the time of service. The information on the card is important for correct identification of your insurance and in receiving the proper payment for your services. Your card will be scanned to ensure that the correct information is available for insurance processing.
Referrals and authorizations
You are strongly encouraged to contact your health insurance plan to review the requirements of the plan in which you are enrolled prior to having any appointment or procedure with HealthEast.
- Many health insurance plans have referral and/or authorization requirements for appointments and procedures.
- Each plan is different, and it is your responsibility to know the authorization requirements of your plan and obtain any necessary referrals.
- The full payment for the appointment or procedure could become your responsibility if you do not obtain the necessary approvals required by your insurance plan, or your appointments may be rescheduled until the approvals have been obtained.
Medicare requires that all tests have a supporting diagnosis to demonstrate the test is medically necessary. If your physician orders a procedure or service that does not support medical necessity, you will be asked to sign an Advanced Beneficiary Notice (ABN). The ABN informs you in advance that Medicare is not likely to pay for the procedure or service, and that you will be responsible for payment.
If you were recently covered by insurance under a group health plan, you may be eligible to pick up COBRA benefits to assist you with your medical bills. Our financial counselors or financial social workers can assist you in determining if you might qualify for COBRA benefits.
If services you are requesting are the result of a work-related injury, HealthEast will bill your employer or your employer’s liability carrier. You must provide us with the required information or we cannot bill the carrier and you will then be billed.
Out of network
Some health insurance plans restrict where you may receive your care. If you have services outside of your network, you may be responsible for higher out-of-pocket expenses or the entire bill. Check with your insurance company to ensure that your HealthEast provider is in-network.
Ensuring a smooth billing process
You have several responsibilities to ensure that the billing process goes smoothly. These responsibilities include:
- When making an appointment and when presenting for your appointment, provide the most recent insurance card, picture ID and make sure that we have your correct address.
- Understanding your insurance benefits, limitations and procedure. Contact your insurance company prior to your health visit so you are familiar with its requirements.
- Confirming with your insurance company that HealthEast Care System is a contracted provider of services for your plan.
- Obtaining a referral, if required. Discuss this with your primary care physician prior to scheduling an appointment.
- Being prepared to make payment prior to service if your insurance company requires a co-pay or out-of-pocket expense.
- Contacting the HealthEast Patient Accounting Department at 651-232-1100 to make arrangements if you cannot pay your hospital or outpatient services balance in full. All patients are responsible for balances due on their accounts, and payment is due upon receipt of the bill. HealthEast employs third party collection agencies to help us resolve unpaid balances.