Do I need a referral or prior authorization for this hospital visit? • Why did you deny my claim? • Is Black River Memorial Hospital covered by my insurance plan? • Is this service covered under my insurance plan? • What are my out of pocket expenses for which I am responsible?
Q: I was a patient at Black River Memorial Hospital. Why am I receiving bills from Gundersen Lutheran and Sacred Heart Hospital? A: Black River Memorial Hospital does not staff a radiologist or pathologist. These services are contracted through Gundersen Lutheran and Sacred Heart. Black River Memorial Hospital is contracted to bill for radiology services for most patients; however, if you have Medicare, Medicaid, or other federally-funded plan (i.e., TriCare/Champus), you will likely receive a bill from Gundersen Lutheran Radiologists. If you receive any services that require a pathologist, such as tissues removed during surgery, you will likely receive a bill from Sacred Heart. Your insurance information is provided to the contracted facility at the time of service. Q:I have an appointment at Black River Memorial Hospital to see a consulting provider. Black River Memorial is in my HMO Network, but the outreach provider is not. Will my services be covered by insurance?
Related Questions
- Do I need a referral or prior authorization for this hospital visit? • Why did you deny my claim? • Is Black River Memorial Hospital covered by my insurance plan? • Is this service covered under my insurance plan? • What are my out of pocket expenses for which I am responsible?
- How does NMHPA affect prior authorization or pre-certification for a hospital stay in connection with childbirth?
- Can I pay Elmhurst Memorial Hospital for a visit prior to receiving a bill?
