Kalispell Regional Healthcare entities mail bills directly to the patient's address on record or to the guarantor of the account (if the patient is a minor or has insurance coverage through another person). This person is designated at registration. Billing staff will file your insurance claims, including any secondary insurance that you report to us.
What Is on Your Bill
Your bill represents the charges for services you received during one hospital stay or visit to our facility. The daily rate includes bed occupancy, meals and nursing care. You also will see charges for laboratory tests, diagnostic imaging (such as x-ray), medications, use of the operating room, and any other tests, procedures or supplies your doctors have ordered. Professional fees for your physicians' services, with some exceptions, are billed separately.
Your bill contains the name and phone number of your patient account representative and what to do if you suspect an error. Our weekday office hours are 8 a.m. to 4:30 p.m. Your bill will show the total charges and indicate the insurance information we have on file.
Summary and Itemized Bills
If you receive a summary bill and would like an itemized statement of your charges, you may request one by calling the billing office. The phone number for the billing office is located on your bill.
The facility will bill for emergency room charges, limited physician services at Pathways Treatment Center and doctors who read results of electrocardiograms. Patients should expect to receive separate bills from emergency room physicians, any private doctors, surgeons or assistant surgeons who participated in your care, as well as from any consulting or professional groups such as radiology (x-rays), anesthesiology and pathology (laboratory services). If you have questions about any of these charges, please contact the doctor who sent the bill.
Kalispell Regional Healthcare participates with Medicare, Medicaid, Tricare and workers' compensation. We accept employee group health and private insurance coverage if we receive complete billing information. For inpatient, surgical and selected outpatient therapies, procedures and testing, we verify that the insurance is in effect at the time of service.
The insurance subscriber is responsible for complying with his or her insurance company's requirements. Those requirements may include obtaining referrals, precertification or second opinions and/or ensuring that the hospital belongs to their particular network of managed care providers.
Billing staff will file your insurance claims, including any secondary insurance that you report to us. If your insurance company has not paid on a timely basis, we will send you a letter requesting your help in solving whatever problems have led to the delay in payment. You are responsible for seeing that your insurance company pays us correctly and on a timely basis.
Changing Insurance Carriers
If you need to update your insurance information, please call the patient account representative listed on your bill and we will refile your claim.
Our in-house financial counselor can help you estimate your potential financial responsibility (after insurance) for hospital services. We may request a down payment of this estimated amount. If requested, please visit the cashier's desk, located on the first floor of Kalispell Regional Medical Center, or contact an account representative before going home. We appreciate your cooperation.
Hospital Pricing Information
The Montana Hospital Association provides a general guideline on hospital prices and what to expect. For more information, see www.montanapricepoint.com
Once your insurance company has paid, we will send you a statement requesting payment of any remaining balance in full within 30 days. A discount may be available for some services for promptly settling your account. If you cannot make payment in full, please contact us
to explore other options in making arrangements for payment.
If You Are Without Insurance Coverage
Our patient representatives will help you explore all possible resources for medical assistance within the community, including public assistance and help from other state and federal agencies.
Kalispell Regional Healthcare will accept monthly payments after all other alternate methods of payments have been exhausted. Monthly payments are set according to the current board-approved payment schedule; personal financial information may be required to set up appropriate payment arrangements.