1000 Highway 12
Hettinger, ND 58639-7530
(701) 567-4561

Insurance Information
If you have medical insurance coverage, out staff will prepare your insurance claims for all services rendered at West River Health Services locations and submit these claims to your insurance company. There is no charge for this service. It is the patient’s responsibility, however, to provide our Patient Financial Services Manger with required insurance information. We need the address of your insurance company, your policy number, the type of policy (family or single) and the effective date of insurance coverage.

Medicare
Medicare has two billing parts. Medicare Part A covers inpatient hospital services. Medicare Part B covers clinic services, physician fees and outpatient hospital services.

Your employer or insurance agent can provide you with coverage information.  Details on Medicare benefits are available at your local Social Security office, 1-800-772-1213.

Medical Assistance (Medicaid)
West River Health Services participates with the state Medicaid programs of Iowa, Minnesota, Montana, Nebraska, North Dakota, and South Dakota. This participation allows West River Health Services to provide services to and bill for patients from these states, with some restrictions. However, individual coverage may depend on your obtaining a written pre-authorization from your state Medicaid program.

Co-pays will be expected to be paid at the time of service.

Managed Care/Preferred Provider Organizations/Blue Cross Policies
Managed care plans and/or preferred provider organizations (PPOs) may deny payment or reduce benefits if medical care is obtained outside of the established network or authorization of the plan. To avoid denial or reduction of benefits, it is to your advantage to:

• Contact your insurance company representative or your primary care physician to determine plan requirements or limitations to receiving care outside of the network.
• Inform West River Health Services of any network/PPO relationship at the time you request an appointment and on the "Authorization to Release Information" form you will be asked to sign.

Co-pays will be expected to be paid at the time of service.

Bills
West River Health Services bills consist of West River Regional Medical Center, Hettinger Clinic, Lemmon Clinic, Mott Clinic, New England Clinic, Scranton Clinic, Bowman Clinic, and West River Foot and Ankle Center in Dickinson. You may receive two monthly statements for services received, one for clinic services and one for any services received at the hospital.

• The West River Regional Medical Center statement is on white paper and includes charges for your room, meals, nursing care, laboratory services, radiology services, physical, speech, and occupational therapies, diabetes management, respiratory therapy and other related services.
• The Hettinger/WR Health Clinic statement is on yellow paper and includes services for physician services and tests.

Fee Estimates
If you need an estimate of charges for services you will be receiving, please contact our Patient Financial Services Manger at (701) 567-6152 or e-mail anthonyl@wrhs.com

Pre-certification, Pre-authorization, and Second Surgical Opinion
West River Health Services will file to any insurance company authorized by you; however, please contact your employer or insurance company if you have questions about coverage. An insurance contract between your insurance company and West River Health Services does not guarantee that your claims will be paid in full. You are responsible for payment of services not authorized by your insurance company. Please contact the Utilization Review Office at (701) 567-6263 with your pre-authorization information before calling to schedule an appointment.

Workers' Compensation
West River Health Services participates with most state Workers' Compensation programs. However, you may be responsible for portions of your bill not paid by Workers' Compensation.

Authorization from your Workers' Compensation carrier is required before scheduling an appointment. West River Health Services will file a claim for authorized services.

Payment
You are responsible for payment of your hospital and clinic accounts. When your visit is complete, please make financial arrangements for payment on your account. You may do this at the Patient Financial Services.

Co-pays will be expected at the time of service. If you have no insurance, you will be expected to pay $50.00 at the time of service.

For your convenience, West River Health accepts cash; personal, travelers, or cashier checks; bank debit cards; and Discover, Master Card, American Express, and Visa credit cards.

Payment Schedule
Balance                 Monthly Payment
$0 - $200                Minimum of $50
$201 - $300             Minimum of $60
$301 - $400             Minimum of $65
$401 - $500             Minimum of $75
$501 - $600             Minimum of $80
$601 - $700             Minimum of $85
$701 - $800             Minimum of $90
$801 - $900             Minimum of $95
$901 - $1,000          Minimum of $100
Over $1,000            Minimum of 10% of account balance