Patients
Patient Policies
Wood River Health has established the following policies through which we guide service delivery for all of our patients.
Wood River Health has established the following policies through which we guide service delivery for all of our patients.
Our goal is to provide exceptional healthcare services focusing on a patient’s needs, regardless of their ability to pay.
Please be sure to Contact Us if you are unable to make your scheduled appointment. If Wood River Health does not receive notice prior to the appointment, this is considered a no-show.
If a patient does not show for appointments, their appointment history will be reviewed by Wood River Health. Future services may be limited to emergencies and patients may not be scheduled for future routine appointments.
We work closely with our patients to determine the appropriate level of financial responsibility they must assume while maximizing the financial support available to them through health insurance and other benefit programs. Our policies define our application of these principles.
If a patient in unable to make the required payment, they may request a budget plan. Payments not made as agreed will be submitted to a collection agency for processing. Continued failure to make expected payments may result in termination from all treatment at Wood River Health or limitation of services to emergencies only and future routine appointments will not be scheduled.
Wood River Health cares for patients any time of day or night. A medical or dental provider is always on-call which may result in telephone or video discussions with patients.
Due to insurance requirements for telephone and video visits, some calls from a patient to a provider may have a co-pay. If during the phone call between the patient and a provider either of the following occur:
-Talking with an on-call provider for more than 10 minutes
-A call with a provider discussing health of the patient that results in a new prescription, testing, or a referral
A telemedicine visit will usually be billed, and the patient's usual co-pays will apply. Wood River Health is contractually obligated to charge the patient's insurance company for care provided. No charges apply if a Wood River Health non-provider staff member calls the patient with lab results, scheduling, or other issues.
The DATE column is the day the service was performed.
The PATIENT column is the patient who received the service. In families, several patients may be listed on one statement.
The PROVIDER column is the person who performed the service.
The DESCRIPTION column is the service received and billed for.
The CHARGE is the universal charge to all patients receiving that service.
The RECEIPT FROM INS. (insurance) column is any payments received from the insurance company for that associated date of service and charge.
The RECEIPT FROM PAT. (patient) column is any payments received from the patient including copays or coinsurance.
The ADJUST. (adjustment) column is the amount not allowed by the insurance company. Our contracts with the insurance company determine what we can charge for a procedure. As part of our contract, we must adjust off any amount between the insurance allowed amount and our universal charge.
The INS. BAL (insurance balance) column is the amount we are still expecting from the insurance company.
The PAT. BAL (patient balance) column is what is now due from the patient or guarantor. The total of this column is in a double box in the bottom right corner of the statement and says “Due From Patient” see below
The boxes at the bottom of the statement are the current balance, and all aged balances for any services we have not yet been paid for.
Example
CURRENT | 30-60 DAYS | 60-90 DAYS | OVER 120 DAYS | TOTAL ACCOUNT BALANCE | DUE FROM PATIENT |
$213.00 | 0 | $45.00 | $258.00 |
Please call the number on your statement if you have any questions regarding your bill or if you have any information which might affect the amounts in each column on the statement. Please remember that amounts in the “Over 120 Days” column may be subject to collection.
In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, family status, sex, gender identity, or sexual orientation. (Not all prohibited bases apply to all programs.)
To file a complaint of discrimination write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410. You can also call 800.795-3272 (voice) or 202.720.6382 (TDD).
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
Patients have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services that are reasonably expected at the time of scheduling. This includes related costs like medical tests, prescription drugs, and equipment.
For patients who don’t have insurance or who are not using insurance, Wood River Health will provide a Good Faith Estimate of scheduled services in writing at least 1-3 business days before the medical service or item.
You can also ask Wood River Health (and any other provider you choose) for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit the Centers for Medicare & Medicaid Services or call the federal surprise billing hotline at 800.985.3059.
This notice is not intended to be a full summary of the No Surprises Act. It is intended only to be a general information summary of technical legal standards. Complete and current information is available at the Centers for Medicare & Medicaid Services.
Wood River Health cares about our patients' privacy and strives to protect the confidentiality of every patient's medical information. Please see Patient Privacy on how we ensure our patients' privacy is protected.
To print a copy of these policies, please download Wood River Health's Patient's Rights and Responsibilities.