Patient Services
Billing
Like any business, Prevea Health charges a fee for its services. In the cases where health insurance doesn't cover all of the accrued charges, you will receive a statement from Prevea. Your payment is due within 30 days of receiving the first statement.
Because we understand that everyone's financial situation is different, we also offer a number of flexible options for people seeking to create an individualized payment plan. Information on this is available by calling 920-496-4775.
Contact a Billing Representative
If you have a question about your bill, the business office is open Monday through Friday from 8:30 a.m. to 5:30 p.m. Call 920-496-4775 and one of our billing representatives will be happy to help you.
If you are calling before 8:30 a.m. or after 5:30 p.m., please leave a message. Provide us with your phone number and the best time to return your call and a Prevea Financial Services Representative will contact you.
Mail payments to:
Prevea Health, Financial Services
P.O. Box 19070
Green Bay, WI 54307
Co-Payments
A Patient Service Representative will collect your co-payment at the time of your visit. Please check with your insurance company to determine your co-payment dollar amount before your appointment.
Dependents
For your convenience, our statements show the current account information for family members who have used Prevea services. Once a patient reaches the age of eighteen, we automatically establish an account in his or her name. If the young adult still attends school, we will send the statement to the parents' address.
Divorce and Billing
We understand that many children live in more than one home because of divorce. We make every effort to comply with your instructions regarding billing addresses. However, many issues arise in divorce cases. The clinic cannot act as administrator to resolve financial arrangements. Ultimately, the parent with whom the minor children lives will be considered the responsible party and will receive all billing statements and other communications. Patients who stay current with payments may request or change their statement mailing address.
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General Billing Definitions
Coordination of Benefit (COB) Rules
Determines which insurance is to be billed first (primary) for services when the patient is covered by more than one carrier. State and federal government guidelines help establish these rules.
Explanation of Benefits (EOB)
Is an itemized statement sent by your insurance company that details, which services it has paid for and which services the insurer did not cover, along with an explanation.
Deductible
Is your out-of-pocket expense for each service or visit as designated by your insurance company or carrier. You need to pay it before insurance benefits begin.
Co-Insurance or Co-Payments (Co-Pays)
Is the amount your insurance carrier has determined that you need to pay. It is usually reported as a percentage of the total amount billed.
Premiums
Are set costs you pay to your insurance company to maintain coverage.
Medicare Part A
Is Medicare Hospital Insurance, covering care in the hospital, any skilled nursing facility and/or for home health agency services.
Medicare Part B
Is Medicare Supplementary Medical Insurance, covering outpatient services and fees for physicians, surgeons or professional technicians.
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Insurance
Primary Insurance
Is the designation given to the insurer that has first priority for payment of a claim.
Secondary Insurance
Is the designation given to the insurer that has secondary responsibility for payment after the primary insurance pays or rejects a claim and/or services performed.
Tertiary Insurance
Is the designation given to the insurer that has third priority for payment of a claim after both the primary and secondary insurance carriers/companies have paid or rejected the claim.
Insurance
Prevea Health can handle billing your insurance carrier for you. Visit the insurance section for more information.
Medicare
Prevea Health participates in the Medicare program and can collect the required annual deductible and co-insurance payments. In cases of non-covered services, we ask that you sign a disclosure form before the services take place.
Medical Assistance
Patients covered by the Wisconsin Medical Assistance Program must present their current card and required co-payment before each appointment. As a Wisconsin Medical Assistance managed care enrollee, you need to be a member of our Managed Health Service HMO to use Prevea services.
New Patient Registration
If you or a family member is new to Prevea Health, please show up early to your first appointment to allow time for the completion of new-patient paperwork.
NSF Checks
You will receive a $20 charge for all NSF checks returned to us by our bank.
Payments
We ask that you pay within 30 days of receiving your first statement. If you need to create an individualized payment plan, please call us at (920) 496-4775 to discuss your financial situation.
Want to pay us without leaving your computer? Register with MyPrevea, and you can pay bills online using a debit or credit card. Learn More >
Questions or Billing Disputes
As the responsible party, you are expected to take the lead in settling outstanding charges. We ask that you pay within 30 days of receiving your first statement.
Please contact us with questions and/or settle any billing disputes before your balance comes due. To pay your balance with a VISA or MasterCard, you can access our online payment form through MyPrevea.
If you want to create an individualized payment plan or need a question answered, call us at 920-496-4775.
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