Frequently Asked Questions

When employers or health insurers set up their plans, they select which health care providers and facilities are considered in-network. It can be difficult to understand in-network vs. out-of-network providers and benefits, and patients who receive care that is considered out-of-network by their health plan have significant financial liability. Parkview is changing its policy to protect patients from the challenges associated with increased financial responsibility due to out-of-network care.

Contact your insurance provider to learn if they contract with Parkview or include Parkview in their approved network. You may provide your insurance company with the specific Parkview Tax ID number (below) to learn about your coverage and benefits at Parkview locations. If your insurance is through your employer, you may also ask your human resources or benefits team for more information.

• Parkview Regional Medical Center & Parkview Hospital Randallia: 35-0868085
• Parkview Whitley Hospital & Parkview Kosciusko Hospital: 35-1967665
• Parkview Huntington Hospital: 35-1970706
• Parkview Noble Hospital: 35-2087092
• Parkview Lagrange Hospital: 20-2401676
• Parkview Ortho Hospital: 26-0143823
• Parkview Surgery One: 61-1697669
• Parkview Wabash Hospital: 47-1753440
• Parkview Dekalb Hospital: 35-1064295
• Parkview Home Health, Hospice & Home Infusion: 35-0868085
• Parkview Park Center: 35-1135451
• Parkview Physician’s Group: 35-1972384
• Parkview Bryan Hospital: 34-1048666
• Parkview Montpelier Hospital: 34-1048666
• Parkview Archbold Hospital: 34-1048666

There are two reasons you might receive more than one bill from Parkview:

• You may receive more than one bill if you're financially responsible for more than one person’s health care and you haven't established a family billing account. You may send an inquiry through your MyChart account, or you may call the Patient Contact Center at 260-266-6700 or toll free at 855-814-0012 for more information.
• You may receive more than one bill if you (or someone for which you're financially responsible) receives services from a Parkview Health clinic, hospital or home health during the same time period. 

Sometimes while providing preventive services, an underlying health issue is discovered. When that happens, the service becomes medical, as opposed to preventive in nature. The claim is then processed by your insurance company using your medical benefits.

When you have an outpatient clinic visit in a hospital setting, the facility fee is the charge for use of on-site resources like nursing, administrative staff, supplies, and equipment.

When you were admitted to the hospital, your doctor may have placed you under observation status. This gives him or her extra time to monitor your condition, decide if you can be treated as an outpatient, or see if you’ll need to be admitted to the hospital. If you’re covered by Medicare, your doctor is usually granted up to 48 hours to make this decision.

If you stayed overnight but your insurance company processed an outpatient stay, it’s probably because you were admitted as an observation patient and your doctor determined your condition did not require an inpatient stay.

Our coding is done by certified coders who have a strong understanding of federal and state coding regulations. They apply the most appropriate coding for the service provided based on the documentation recorded at the time of the service. While we’re happy to review coding to make sure it matches the documentation, we’re not able to make coding changes to facilitate additional payment by the insurance company.

If there's a balance left after your insurance company has paid its share, you might get a hospital bill or doctor’s bill. If that happens, you'll get a statement in the mail showing how much the insurance company paid and what portion you are being asked to pay.

You can pay your medical bill in person, over the phone, or online.

You can find a copy of your medical bill in your MyChart online account, or you can call our Patient Contact Center at 260-266-6700 or toll free at 855-814-0012 to ask for a copy of your bill by mail. 

You may always send us an inquiry through your MyChart account. If you prefer, you may also call us at 260-266-6700 or toll free at 855-814-0012 to discuss your bill.

If you mailed your payment recently, chances are the check and the bill crossed in the mail. Review your account activity in your MyChart account to see if your payment is now reflected. If not, please send a MyChart message in the billing section. You may also call 260-266-6700 or toll free at 855-814-0012 to check on the status of your payment. Please accept our apologies and be sure to let us know if you receive another statement.

In addition to paying in person, here are two easy ways to pay your Parkview bill:

• Pay online through your MyChart account.
• Call our automated pay-by-phone system 24/7 at 260-266-6700 or toll free at 855-814-0012.

We accept:

• Credit or debit card (MasterCard, Visa or Discover)
• Check
• eCheck 

Please provide us with your health insurance information when scheduling your service. That includes billing information for any and all insurances you’ll be using to pay for the service. If you don’t have this information when you call to schedule, it’s your responsibility to provide that information at check-in so we can accurately submit your claims.

If your service was the result of a workplace injury or illness, you’ll need to provide the name of the employer and the billing information for any worker's compensation coverage by which you may be covered.

If your injury or illness was the result of an accident where a third party might be liable, we’ll bill your medical insurance. Your medical insurance may then negotiate with the third party to obtain payment. 

If you don’t have health insurance and a third party might be liable, we’ll bill the third-party insurance one time as a courtesy to you. However, we won’t follow-up for payment beyond that. The balance will become your responsibility after the courtesy billing, and it will be up to you to facilitate payment.

First, you need to find out which services you’ll be receiving at your visit, and how those services will be coded and billed to your insurance company. To obtain a CPT code for your procedure, speak to a Parkview representative at 260-373-3090 or 855-814-0012, option 2.

Once you know the Current Procedural Terminology (CPT) codes for the services you’ll be receiving, you can contact your insurance company to verify your plan covers those services and to find out how they’ll be paid.

You may send us a message with the insurance information (name of company, policy number, group number, policyholder name, claims mailing address) through your MyChart account. You may also contact us at 260-266-6700 or toll free at 855-814-0012 during normal business hours to update your insurance information.  

If you don’t have a payer source (for example, private health insurance, Medicare, Medicaid, ACA or HIP), you’ll automatically receive a 30% discount on your bill for medical services. If you have questions or need additional assistance, call 260-266-6700 or toll free at 855-814-0012, or visit one of our facilities to speak with a financial counselor.

Contact your insurance company directly and start an appeal with them. You’ll need to follow the grievance process that is laid out in your policy with them. If your employer is self-insured, you can contact your employer to initiate a review.

Your walk-in visit will be billed as a physician office visit. That means you may not see the term “walk-in” on your billing statement at all. Also, any co-pay collected at the walk-in clinic will be a physician office visit copay.

It’s important to fully understand your insurance coverage. If you’re not sure how your insurance handles claims for physician office visits, or if you want to know what your co-pay will be, be sure to give them a call.

Billing your insurance company may take up to 60 days, so please be patient. If you didn’t provide insurance information when you saw your doctor, or if it’s been longer than 60 days and your insurance company still doesn’t have a record of the bill, please send an inquiry through your MyChart account or call our Patient Contact Center at 260-266-6700 or toll free at 855-814-0012.

If there’s a balance due, you’ll receive a billing statement in the mail or in your MyChart account. The full balance is due on or before the due date shown on your billing statement. 

If there’s a balance difference between your billing statement and your MyChart account, you may send an inquiry through your MyChart account or you may call a Parkview representative at 260-266-6700 or toll free at 855-814-0012. 

If you do not have a payer source (for example, private health insurance, Medicare, Medicaid, ACA or HIP), you’ll receive a 30% discount on your medical bills.

Once you know the Current Procedural Terminology (CPT) codes for the services you’ll be receiving and have verified your plan covers those services, you can contact Parkview representative at 260-373-3090 or toll free at 855-814-0012 option 2 to obtain an estimate for future services. The amount you pay will consist of actual services rendered, which may differ slightly from the original estimate. Total charges will be based on the services that were ordered and performed during the course of treatment.

We can set up a payment plan for each guarantor but are unable to combine multiple guarantors into one payment arrangement.  

When you make a payment, we apply it to the oldest service listed on your account that still has an outstanding balance. Once that is paid off, we apply any remaining money to the next-oldest service on your account. This often results in partial payments for separate services, which you’ll see listed on your billing statement.

Sometimes there can be confusion as to who’s responsible for your bill. If you’re unclear as to what’s covered by insurance, or if multiple people paid on your medical bill, don’t worry – we’re here to help.

If there’s a credit balance on an account, the account is automatically sent to a team for review for a refund action. If you or another individual have no outstanding self-pay balances, this team will review and process the refund if applicable. If an insurance company is due a refund, they are required to request the refund in writing, then the refund will be processed.

Absolutely. If you’re worried about healthcare costs or concerned about how you’ll afford your care, you can speak with one of our financial advocates.

They can:

• Give you an estimate of costs
• See if you qualify for financial assistance
• Discuss your payment options

Contact a financial advocate today by calling 260-373-3090 or toll free at 855-814-0012 option 2.

We’re happy to file your Medicare Parts A and B and supplemental insurance claims for you. Medicare will then send payments directly to us.

Remember, Medicare will automatically send some claims to your supplemental insurance. That means you need to notify Medicare if there are any changes in your supplemental insurance plan. Medicare will then send payments directly to us.

If you were referred to Parkview by the VA, the VA should provide you with a written referral. Please show your referral letter to the individuals registering you at the doctor’s office or at the hospital location. If you are being registered over the phone, please tell us about that referral letter during that call and bring the letter with you when you arrive. 

Filing for Medicaid does not guarantee that they will approve coverage, and it does not guarantee that Medicaid will grant coverage for past visits. You may still receive statements in the mail asking for payment while Medicaid processes your application. 

Each insurance has their own rules about what plan should be filed as primary. 

If you have Medicare coverage, you will be asked a series of questions that Medicare wants providers to use to determine what coverage should be filed first.

If you have state Medicaid and commercial health insurance coverage, the commercial health insurance must always be filed first.

If an adult has coverage with two commercial health insurance plans (for example, a married individual has coverage through their own employer as well as through their spouse’s employer), the coverage through your own employer is primary. If a child has coverage through both parents, most (but not all) insurance companies follow the “birthday rule.” That means that the coverage for the parent whose birthday falls first in the year is filed first. It is important for you to let both of your insurance plans know about the existence of the other plan so that they can work with you to establish which one should be primary. 

We offer interest-free repayment plans. The length of the repayment plan depends on the total balance due. You must set up a payment plan within certain parameters to avoid collection activity. Accounts that are not protected by a payment plan will continue to age to external collection activity.

To get started, sign in to your MyChart account, or call us at 260-266-6700 or toll free at 855-814-0012.

If you can’t pay your bill in full, contact us as soon as possible to discuss your payment options and prevent your account from being turned over to a collection agency.

Simply sign in to your MyChart account to send a review your options and send us a message, or call us at 260-266-6700 or toll free at 855-814-0012 to learn about payment options.

If you don’t have insurance, you may be eligible for special discounts or financial help. You can learn more about this on the back of your billing statement, by reading about our Patient Financial Assistance Program or by calling 260-266-6700 or toll free at 855-814-0012. Financial Assistance brochures are also available at hospital locations. 

Nobody likes surprises. That’s why we print past-due notices on your statement, so you’re always clear on your account status with us.

If we still don’t hear from you to resolve your unpaid bill, we may:

• Contact you by telephone
• Refer your account to an outside collection agency (which may report your unpaid balances to a credit reporting agency)

We provide a variety of different payment summaries and documentation to help you file your taxes. You can also submit these documents to get reimbursed from your Flex Spending Account (FSA). You may find these documents in your MyChart account or by calling us at 260-266-6700 or toll free at 855-814-0012.

We offer several different formats, including:

• Detailed bills
• Guarantor detail bills
• Guarantor payment letters

Medicare Part B does not cover “self-administered drugs.” These are prescription and over-the-counter drugs you get in an outpatient setting. For safety reasons, most hospitals have policies that do not allow patients to bring their own prescriptions or other drugs from home. You will likely need to pay for these drugs and then send a separate claim to your drug plan so that you can be reimbursed. Please call your drug plan for more information.    Part B doesn’t cover “self-administered drugs,” prescription and over-the-counter drugs you get in an outpatient setting. Also, for safety reasons, many hospitals have policies that don’t allow patients to bring prescription or other drugs from home. You’ll likely need to pay out-of-pocket for these drugs and submit a claim to your drug plan for reimbursement. Call your drug plan for more information.Part B doesn’t cover “self-administered drugs,” prescription and over-the-counter drugs you get in an outpatient setting. Also, for safety reasons, many hospitals have policies that don’t allow patients to bring prescription or other drugs from home. You’ll likely need to pay out-of-pocket for these drugs and submit a claim to your drug plan for reimbursement. Call your drug plan for more information.Part B doesn’t cover “self-administered drugs,” prescription and over-the-counter drugs you get in an outpatient setting. Also, for safety reasons, many hospitals have policies that don’t allow patients to bring prescription or other drugs from home. You’ll likely need to pay out-of-pocket for these drugs and submit a claim to your drug plan for reimbursement. Call your drug plan for more information.

Call the number on the back of your card or visit IN.gov/Medicaid

What is Medicaid cost-sharing, and when does it begin?

Medicaid cost-sharing involves certain Medicaid members contributing a small percentage of the cost to maintain their coverage. This can include copays paid directly at the time of medical services and monthly contributions/ premiums paid by invoice. Copays only apply to members in the Healthy Indiana Plan (HIP) and Children’s Health Insurance Plan (CHIP). Monthly contributions/premiums apply to HIP, CHIP and MED Works (Medicaid for working individuals who have a disability). Copayments for HIP and CHIP will begin July 1, 2024, and invoices for HIP, CHIP and MED Works monthly payments will be sent in early July for August’s benefits.

Has cost-sharing always been a part of Medicaid coverage?

Yes, but cost-sharing for Medicaid coverage has been suspended for nearly four years due to federal public health emergency orders. It is now returning on July 1, 2024, requiring some members to share a portion of the coverage cost.

How will I know if I need to contribute to Medicaid cost-sharing?

If you are a HIP member, you will receive an invoice from your health plan (Anthem, CareSource, MDwise or MHS). If you are or have a child in CHIP or if you receive MED Works coverage and are required to pay premiums, you will receive a bill from the premium vendor in July. Medicaid members can check their status online in their benefits portal account (FSSABenefits.IN.gov) to determine if they are required to pay monthly contributions/premiums. Eligibility notices from FSSA and monthly invoices will also be provided by the member’s health plan (for HIP members) or the premium vendor (for CHIP and MED Works members) to keep members informed.

When will Medicaid members start contributing to the cost-share?

Cost-sharing is set to resume July 1, 2024. HIP and CHIP members should be prepared to pay a small copay at the time of medical services. HIP, CHIP and MED Works members should also watch for an invoice in the mail and pay the amount due by the date given in order to maintain their coverage.