Billing & Financial Information

Billing & Financial Information2019-03-18T08:51:56-05:00

Insurance & Payment

If you have health insurance, please ensure that our Patient Account Services Department has received your identification numbers. If your insurance requires pre-certification or authorization, please make sure you have met those requirements. If you have questions or need assistance, please contact our Prior Authorization Department at 218-347-1353. The facility will submit and process insurance claims. Your insurance is a contract between you and your insurance, and you have final responsibility for payment of the facility bill. Credit balance accounts are to be resolved within 30 days of the account entering a credit status. The facility will make a refund to the appropriate party.

Financial Assistance

Perham Health’s Financial Assistance Program was established to assist patients whose annual incomes are at or below 200 percent of the Federal Poverty Level. You may be eligible for discounted rates if you fall between 200 and 300 percent.

Perham Health is committed to provide emergency and medically necessary care to all patients. Patients receiving services and who meet eligibility criteria, can apply for financial assistance.

Estimated Costs

Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals and health systems to post “current, standard charges.”

Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.  Patients without insurance may also be eligible for discounts under the MN Attorney General Discount Program.

The prices depicted on Perham Health’s price transparency web page  are from the current chargemaster and reflect prices that were in effect as of December 27, 2018. Hospital prices are updated annually with the most recent overall price change being implemented on October 1, 2018. There could be instances where charges in an individual department or an isolated charge may change during the year and may have been updated since December 27, 2018.

Hospital charges may include bundled procedures, personnel, services and supplies. An example would be room rates that include the space, equipment, nursing personnel and supplies.

The data presented will show individual charges and may be difficult for an individual to use for help in calculating the total charges he or she may incur during a visit and the applicable out-of-pocket expenses he or she may be responsible for. We encourage our patients to contact Patient Financial Services at (218) 347-4500 for help with specific circumstances.

When a patient has the opportunity to shop for medical services, he or she should contact his or her own insurance carrier to understand which costs will be covered and which will be the patient’s responsibility.

In addition to resources on this website, there are additional resources available that provide summarized charge data at either a diagnosis-related group (DRG) level or outpatient procedure level. The Minnesota Hospital Association website can provide an estimated cost for procedures performed at Perham Health as well as cost compare to other facilities.