FAQ about Billing

Why am I being billed?

Is my insurance being billed?

Why am I getting more than one bill?

How much did my insurance pay?

What did insurance pay for and what did they deny?

What does it mean when my insurance company says they need more information from me or more information from our physician?

Can you change a code so insurance will accept the appeal?

I'm worried about not being able to pay. Can you help?

How do I set up a payment plan?

How can I find out ahead of time what something will cost?

Why am I being billed?

We have provided you a letter and a statement about the services you received at Children's to ensure that we have the correct information about your services and so that you know we have billed your insurance. Please review the entire statement for helpful messages such as "your insurance has been billed." If you need assistance with your statement (bill), please call our Financial Customer Service line at (651) 855-2200.

Is my insurance being billed?

Children's Hospitals and Clinics bills your insurance company based in the information you have provided about your coverage. We will send you statements to let you know the status of insurance payments and when your portion is due.

Why am I getting more than one bill?

You might receive several different bills from one visit to Children's. For example, you might receive one from each of the following: Children's Hospitals and Clinics, physician, radiology, anesthesiology, pathology or mental health. The Children's Hospital bill is primarily for the use of the hospital facility. Physicians, radiologists, and other specialists bill separately. Some are independent contractors. Some are Children's employees. They have their own billing process. We all work together to provide excellent healthcare for your child, but from a billing perspective, we are separate businesses.

How much did my insurance pay?

Your insurance should send you an explanation of your healthcare benefits (EOB) indicating total charges, payments, and any co-payment or deductible amounts. If you have questions about your EOB and what your insurance company paid or denied, please call the Customer Service representatives at your insurance company.

What did insurance pay for and what did they deny?

Your insurance should send you an explanation of your healthcare benefits (EOB) indicating total charges, payments, and any co-payment or deductible amounts. If you have questions about your EOB and what your insurance company paid or denied, please call the Customer Service representatives at your insurance company.

What does it mean when my insurance company says they need more information from me or more information from our physician?

Your insurance company can provide additional information about why they need additional information. It is important to note that they will not pay a claim until they receive the information; if they have requested information from you, please contact them immediately.

Can you change a code so insurance will accept the appeal?

Claims for services include diagnosis and procedure coding as required by law. Coding is based on the documentation of services in the medical record. If you believe a code has been applied in error, a request for review can be sent to Children's Medical Records. Please contact Patient Financial Services at 651-855-2200..

I'm worried about not being able to pay. Can you help?

A health problem in the family can be a stressful experience. Children's financial specialist can help determine if you qualify for assistance and can help you gain access to government and other programs. To reach a financial specialist at Children's – Minneapolis, call (612) 813-6432. To reach the financial specialist at Children's – St. Paul, call (651) 220-6367.

How do I set up a payment plan?

You can set up a payment plan by calling the customer service phone number on your hospital billing statement. Those phone numbers are:

For hospital charges: (651) 855-2200

For clinic charges: (651) 855-2345

For home care charges: (651) 855-2350

How can I find out ahead of time what something will cost?

Call the revenue management department at 651-855-2316. We will research your planned treatments and compile a cost estimate.