{"id":1230,"date":"2025-12-10T22:28:39","date_gmt":"2025-12-10T22:28:39","guid":{"rendered":"https:\/\/devsiteomg.com\/brh\/?page_id=1230"},"modified":"2025-12-19T21:02:32","modified_gmt":"2025-12-19T21:02:32","slug":"billing-insurance","status":"publish","type":"page","link":"https:\/\/devsiteomg.com\/brh\/billing-insurance\/","title":{"rendered":"Billing Questions"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\">\n<div class=\"et_pb_row_0 et_pb_row et_pb_gutters3 et_block_row\">\n<div class=\"et_pb_column_0 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p><span itemprop=\"name\">Home |\u00a0 Billing and Insurance<\/span><\/p>\n<p><!-- wp:divi\/placeholder \/--><\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_section_1 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_1 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_1 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h1><strong>Important Information About Your Bill<\/strong><\/h1>\n<p>As of December 30, 2024, Krohn Clinic and Black River Memorial Hospital officially joined to become Black River Health.<\/p>\n<h3>What This Means for Your Bill<\/h3>\n<p>The Krohn Clinic campus now offers services that are billed in two ways:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Clinic services<\/li>\n<li>Hospital outpatient services<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Depending on the care you receive, your bill may look different, and you may owe separate charges.<\/p>\n<h3>What\u2019s changing?<strong>\u00a0<\/strong><\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Clinic visits: Routine appointments with your primary care provider will continue to be billed as before.<\/li>\n<li>Hospital outpatient services: Services such as lab, imaging, podiatry, orthopedics, oncology, nurse visits, and surgical\/procedure areas are now classified as hospital outpatient services. These may include both a facility site fee and professional fee.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>What are facility site fees?<\/h3>\n<p>Hospital-owned clinics, also known as provider-based clinics, are considered an extension of the hospital. To meet strict safety standards and regulatory requirements set by Medicare, Medicaid, and The Joint Commission, these clinics charge a<span>\u00a0<\/span>facility fee. Both government agencies and commercial insurers require that this fee is billed separately from the provider\u2019s professional fee.<\/p>\n<p>If you receive care at a hospital-owned clinic, you will receive<span>\u00a0<\/span>two bills: one for the facility fee and one for the provider\u2019s care.<\/p>\n<h3>What are professional fees?<\/h3>\n<p>This is the fee for the care provided by your physician or healthcare provider.<\/p>\n<h3>What do facility site fees cover?<\/h3>\n<p>Facility fees cover the costs of operating the clinic, excluding the provider\u2019s professional fees. These costs include:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Equipment<\/li>\n<li>Utilities<\/li>\n<li>Maintenance<\/li>\n<li>Supplies and medications<\/li>\n<li>Non-physician staff care<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Facility fees also help cover the cost of meeting strict safety standards and regulatory requirements. They may contribute to the training of physicians, nurses, and other healthcare professionals.<\/p>\n<h3>Will My Insurance Company Pay the Facility Site Fee?<\/h3>\n<p>Most insurance companies will cover facility fees, but some may not. Before your visit, contact your insurance provider using the customer service number on your card to confirm whether your plan covers these fees.<\/p>\n<p>Some insurance plans also may process hospital outpatient services differently, which may result in higher out-of-pocket costs (increased copays or deductibles).<\/p>\n<p>We strongly encourage all patients to:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Review your health insurance benefits<\/li>\n<li>Contact your insurance provider\u00a0to understand what\u2019s covered and what you may be responsible for based on the type of services provided.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Need Help Understanding Your Bill?<\/h3>\n<p>Our Patient Financial Advocates are here to help. Call us at<span>\u00a0<\/span><a class=\"\" href=\"tel:17152841368\">715-284-1368<\/a><span>\u00a0<\/span>or<span>\u00a0<\/span><a class=\"\" href=\"tel:17152843691\">715-284-3691<\/a>\u00a0for assistance.<\/p>\n<p>For payment on services received prior to 12\/30\/2024 at\u00a0Krohn Clinic Ltd, please call (715) 284-4311.<\/p>\n<p>For all other inquiries:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Medicare:\u00a0<a href=\"tel:17152841361\">715-284-1361<\/a><\/li>\n<li>Medicare Advantage Plans\/HMOs:\u00a0<a href=\"tel:17152841361\" target=\"_blank\" rel=\"noopener\">715-284-1361<\/a><\/li>\n<li>Medical Assistance:\u00a0<a href=\"tel:17152843622\" target=\"_blank\" rel=\"noopener\">715-284-3622<\/a><\/li>\n<li>BadgerCare:\u00a0<a href=\"tel:17152843622\" target=\"_blank\" rel=\"noopener\">715-284-3622<\/a><\/li>\n<li>Commercial\/Workers&#8217; Compensation:\u00a0<a href=\"tel:17152841397\">715-284-1397<\/a><span>\u00a0<\/span>or<span>\u00a0<\/span><a href=\"tel:17152843040\" rel=\"noopener\">715-284-3040<\/a><\/li>\n<li>Home and Respiratory Equipment (DME):<span>\u00a0<\/span><a href=\"tel:17152841349\">715-284-1349<\/a><\/li>\n<li>Self Pay:\u00a0<a href=\"tel:17152841368\">715-284-1368<\/a>\u00a0or\u00a0<a href=\"tel:17152843691\">715-284-3691<\/a><\/li>\n<li>Revenue Cycle Director:\u00a0<a href=\"tel:17152843637\">715-284-3637<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Medicare, Medicare Advantage, and Medicare HMOs<\/h3>\n<p>Black River Health, Inc. will bill Medicare for your services. If you present supplemental insurance at the time of registration, we will file your insurance for any balance that was not paid by Medicare. You will receive a monthly statement for any personal balance not covered by Medicare or your insurance.<\/p>\n<h3>Medical Assistance<\/h3>\n<p>Medical assistance cards are required at the time of registration. This is a state regulation. If you do not show your card, the charges could become your personal obligation. There is a daily co-payment for hospital services.<\/p>\n<h3>Insurance and HMOs<\/h3>\n<p>Black River Health, Inc. participates in many of the Managed Care Plans offered in our area. Some insurance plans may require a referral or pre-authorization for certain tests or procedures. It is your responsibility to understand the requirements of your plan. If you have any questions about your policy, contact your insurance company&#8217;s customer service department.<\/p>\n<p>The Fiscal Services Department will bill your insurance company as a courtesy to you if complete billing information was given at the time of registration. We will make every attempt to resolve any billing issues with your insurance company; however, if you receive a statement and our billing office has exhausted all efforts for payment of your claim, you will be responsible for the balance of your account.<\/p>\n<h3>Patient Balances<\/h3>\n<p>For charges not covered by insurance, we accept cash, personal checks, Visa, MasterCard, and Discover. You can pay your bill online. We also can set up a payment plan for your convenience. A Patient Financial Advocate is available Monday through Friday to answer any questions you may have. Please call\u00a0<a href=\"tel:17152841368\">715-284-1368<\/a>\u00a0or\u00a0<a href=\"tel:17152843691\">715-284-3691<\/a>\u00a0to schedule an appointment.<\/p>\n<h3>Financial Assistance<\/h3>\n<p>Patients who are unable to pay for their hospital services should apply for the hospital&#8217;s\u00a0<a title=\"Financial Assistance\" href=\"https:\/\/blackriverhealth.com\/financial-assistance\" rel=\"noopener\" data-id=\"1644\">Financial Assistance Program<\/a>.<\/p>\n<h3>Statements<\/h3>\n<p>Statements are prepared and mailed out monthly. If you have any questions regarding your statement please call\u00a0<a href=\"tel:17152845361\">715-284-5361<\/a><span>\u00a0<\/span>and ask to speak with a Financial Services representative. Detailed bills are available by request.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_2 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_2 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24\">\n<div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h1 style=\"text-align: center;\"><b>Billing Resources<\/b><\/h1>\n<p style=\"text-align: center;\"><strong>Do you have questions about your bill? Call <a href=\"tel:7152845361\">(715) 284-5361<\/a> or see our billing frequently asked questions.<\/strong><\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"et_pb_row_3 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_3 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_1_5 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_0_wrapper\"><a class=\"et_pb_button_0 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"https:\/\/devsiteomg.com\/brh\/pay-my-bill\/\">Pay Bill<\/a><\/div>\n<\/div>\n\n<div class=\"et_pb_column_4 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_1_5 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_1_wrapper\"><a class=\"et_pb_button_1 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"https:\/\/devsiteomg.com\/brh\/financial-assistance\/\">Financial Assistance<\/a><\/div>\n<\/div>\n\n<div class=\"et_pb_column_5 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_1_5 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_2_wrapper\"><a class=\"et_pb_button_2 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"https:\/\/devsiteomg.com\/brh\/how-we-compare\/\">How We Compare<\/a><\/div>\n<\/div>\n\n<div class=\"et_pb_column_6 et_pb_column et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_1_5 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_3_wrapper\"><a class=\"et_pb_button_3 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"https:\/\/devsiteomg.com\/brh\/insurance-information\/\">Insurance Information<\/a><\/div>\n<\/div>\n\n<div class=\"et_pb_column_7 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_1_5 et_flex_column_12_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_4_wrapper\"><a class=\"et_pb_button_4 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"https:\/\/devsiteomg.com\/brh\/cost-of-care\/\">Cost of Care<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1230","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/pages\/1230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/comments?post=1230"}],"version-history":[{"count":11,"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/pages\/1230\/revisions"}],"predecessor-version":[{"id":1772,"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/pages\/1230\/revisions\/1772"}],"wp:attachment":[{"href":"https:\/\/devsiteomg.com\/brh\/wp-json\/wp\/v2\/media?parent=1230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}