A facility fee is a charge for using the hospital clinic building and its supplies during your doctor's visit.

• This charge is separate from the bill for the doctor or nurse who treats your child.
• It helps pay for things like supplies, equipment, exam rooms, and clinic staff.
• The cost changes based on what your child's visit needed.
• We can only tell you the final amount after the visit is over.

A hospital-based clinic is a doctor's office or clinic that is owned and run by the hospital itself.

It offers two main things:

• Professional services: This is the care you get from the doctors and nurses.
• Hospital services: This is the use of the building, equipment, and staff provided by the hospital.

These clinics might be in a building very close to the main hospital, or they could be in a separate office building farther away in your neighborhood. No matter where they are, the hospital owns and runs them.

If you have a bill that hasn't been paid, here's what happens:

• We will send you four statements (bills) in the mail before we send the account to a collection agency.
• You might also get a phone call from our billing team to talk about the bill.

Working With an Agency

If you have not paid the bill or set up a plan to pay it over time, the account will be sent to a collection agency.

• This agency works for Children's Wisconsin.
• Once the bill is with the agency, you will need to talk directly to them to pay the rest of the bill.

If you call our team to talk about your bill, we will need to check your identity first.

• To make sure we are talking to the right person, we will usually ask you to tell us your date of birth, address, or Social Security Number.
• Sometimes, we might need to ask you for a little more information.

This helps keep your private billing details safe!

How We Do Coding

We have special staff called certified coders who handle our billing codes. These coders know all the federal and state coding regulations about how to correctly choose the right codes for every service. They pick the best code based on the documentation that the doctor or nurse wrote down during your visit.

Reviewing the Codes

We are happy to check the codes again to make sure they match what is in your child's medical notes. However, we cannot change a correct code just to try and get your insurance company to pay more money. The codes must always match the care that was given.

Sometimes during a preventive exam (like a routine check-up), the doctor finds a health problem. When this happens, the visit is no longer just a check-up; it changes into a medical visit to treat the problem. Your insurance company will then pay for the visit using your medical plan, not the preventive coverage.