To contact this department: 715-684-5172
Insurance and Billing Information
Baldwin Area Medical Center’s business services department is dedicated to providing our patient’s with excellent customer service as a means to navigate the complicated world of insurance billing. As a courtesy service for our patients, trained personnel will prepare and submit billing statements for healthcare services provided by Medical Center staff members.
Price Information:
Baldwin Area Medical Center will provide upon request an estimated price or price range for future services. Please direct your written requests to the Billing Office, call 715-684-5172.
Click here to visit Wisconsin Pricepoint. Wisconsin Pricepoint allows health care consumers to receive basic, facility-specific information about healthcare services and charges. PricePoint provides information about three categories of services.
Insurance:
To provide the most accurate information for billing and coverage determinations, we will ask you to verify insurance information each time you come to the medical center. Please advise the registrar if any of your personal information has changed. Please help us keep your medical record up-to-date by promptly notifying the registrar of any changes to your address, phone number, emergency contact, insurance policy, employer, etc.
If your insurance policy requires a co-payment for each office visit, we will ask you to make the co-payment before seeing your healthcare provider. We will provide you with a receipt for this personal payment and accept cash, personal checks, Visa or MasterCard.
As the patient, you must be an active participant in the process of securing payment coverage from your health insurance carrier. It is the responsibility of the patient to be informed about their insurance policy and benefits or coverage limits. This includes developing a personal understanding regarding the need for prior authorization of services, referral requirements, and in-plan or out-of-plan benefit restrictions.
For some insurance plans, a referral may be needed to see a physician other than your primary care physician. Referrals are usually made for a specific period of time and a specific medical condition. If you plan carries this type of restriction and you choose to see a physician other than your primary care physician without completing the required referral process, it is likely that you will be required to pay for the services received. The medical center maintains a referral department that is here to assist you with this process. Our trained professionals may be reached at (715) 684-6753
In order to avoid denied or reduced reimbursement, we encourage you to read your insurance policy thoroughly and be aware of any insurance requirements. If you have questions about your specific policy or about whether the Medical Center, a physician or a physician’s assistant is a covered provider under your insurance plan, please contact your insurance company at the customer service number listed on your card. Please keep in mind that your insurance coverage is a contract between you and your carrier.
Billing:
Statements are mailed out on a monthly basis. You will receive a combined statement that includes both your hospital and clinic accounts. Please keep a copy of your statement for your personal records.
Please check over your statement upon receipt. If you have questions about the details of your statement, please call the Business Office at (715) 684-5172. When calling the Business Office, please listen and follow the prompts carefully to reach the individual assigned to manage your account.
If there is a balance left after the insurance company has made payment, the patient is then billed for the remaining balance per the terms of their individual insurance plan coverage limits. You will have 30 days to pay your bill from the date on the statement and are responsible for the payment of your account by the due date, regardless of the status of your insurance claim.
We realize that many medical expenses are incurred as a result of unplanned accidents or illnesses. Therefore, budgeting for these expenses is not always possible. If you find yourself in a situation such as this, please contact our Business Office to inquire about possible payment arrangements. Accounts that are not paid within a reasonable period of time and do not have a payment arrangement on file with our Business Office, will be given proper notice and are subject to placement with a collection agency.
Itemized Statement:
Baldwin Area Medical Center Billing Office will provide upon request an itemized statement. Please direct your written requests to the Billing Office, call 715-684-5172.
Medicare:
Our medical center is a participating provider in Medicare and accepts assignment on all claims. We will submit the claim to Medicare and any payments from Medicare will come directly to us. If you have a supplement to Medicare, we will also submit these claims to your supplement carrier.
Medical Assistance:
Patients are required by law to show their current Medical Assistance eligibility card. In some cases, payment of a portion of the fees is required. These co-payments must be paid the same day the service is provided. If you do not show your card before you are provided healthcare, or we are unable to verify your eligibility, you will be responsible for payment of the services received.
Worker’s Compensation:
If you are being treated for a work-related injury, please inform the registrar each time you register for services. This will ensure that all charges incurred are submitted correctly to your employer for coverage and not assigned to your personal account. You will still receive a monthly statement from the medical center until Worker’s Compensation pays the bill.
If you do not have Insurance:
Our services are available to all persons. Baldwin Area Medical Center does not discriminate against any person on the basis of race, gender, color, national origin, disability, or age in admission, treatment or participation in its programs, services and activities, or in employment. Payment is requested within 30 days of the statement due date unless you make other arrangements with us. Please let us know about changes in your insurance status.
Community Care Plan can help people who are unable to pay for medical services provided by us. Eligibility for the Community Care Program is based on verifiable annual income by family size. The program also requires that you apply for any other programs that you may be eligible for. Please contact us at (715) 684-5172 for more information.
BAMC payment requests and options:
- Co-payments are due at the time you receive service at the clinic.
- Full payment is due within 30 days of receiving your bill.
- There will be a $30 charge for all returned checks.
- We offer an extended payment plan with prior approval.
Your bill may be paid via mail or in person. We accept:
- Check
- Cash
- Money Order
- VISA
- MasterCard
- Discover
Payments in person will be accepted at the Front Reception Desk between the hours of 7:00 AM and 9:00 PM.
Our Collection Policy:
If special circumstances prevent a full, timely payment, our staff will work with you to arrange a payment plan. Our staff is available from 8:30 AM to 4:30 PM Monday through Friday. You can reach them at (715) 684-5172.
Help if you need it:
Baldwin Area Medical Center has a team that is devoted to helping you understand and manage your account. If you have questions, we are happy to help.