Business Office - FAQs

Will Winona Health accept my insurance?
We will file to any insurance company authorized by you; however patients and/or families should contact your insurance company regarding any concerns you have about coverage and benefits. You are responsible for payment of services not authorized by your insurance company.

When an insurance company denies part of a claim because is there an appeal process?
In order to exercise your appeal rights, you must personally file a formal appeal within a certain time limit. Most insurers are required to respond to your request for appeal within 30 to 60 days.

What does In-network & Out-of-Network mean?
Some insurance companies have different patient responsibly for services rendered for providers they are contracted with (in-network) and high patient responsibly for those services rendered for at providers with no contracts (out of network).

What does a usual and customary refer to from my insurance carrier?
Insurance coverage varies among individual insurers and among individual policies. Insurance companies limit payments using their own fee schedule of "usual, customary and reasonable" (UCR) allowances. Patients need to check with employers or your insurance about coverage. You are responsible for payment of your account regardless of the amount of benefits provided by insurance including balances due to UCR limitations.

My insurance company is denying my claim because they did not receive a doctor's referral letter. What should I do?
Talk to primary care physician’s office. They need to send information about your treatment/condition to your insurance company on your behalf to authorize services t be paid.

Does Winona Health participate with the Medical Assistance program?
Winona Health participates with the state Medicaid programs of Iowa, Minnesota, and Wisconsin, which allows us 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.

If you have coverage through a state or Medicaid-sponsored managed care health plan, you may also need a referral from the health plan to receive coverage for services at Winona Health. We recommend checking with your state's Medicaid office or your managed care health plan to verify if any prior authorizations are required.

I have already given my insurance information to Winona Clinic, Family Medicine or Physicians clinic, why do I need to provide it again.
Each of the following is a different entity and has its own billing system.  The only thing we can see from their system is your demographics information (name, address, telephone, etc).

Will Winona Health file to my supplemental insurance?
Yes, once your primary insurance has paid we will file any remaining balance to your supplemental insurance company.

What if I can’t pay my balance in full?
Account balances upon receipt of your statement. If you are unable to pay, in full, by that date, you should contact the business office to make payment arrangements. If you feel you are unable to pay for all or part of the healthcare you receive from Winona Health, we encourage you to apply for charity care (can you insert link to charity care page).

What do I do if I need a copy of my charges?
You may request an itemized statement for your charges by contacting us, or by calling our office

Who do I contact if I have any questions or concerns regarding my insurance payments?
Please contact your insurance company directly. They will instruct you on the procedure that you need to follow regarding benefits and appeals.

Who do I contact regarding my bill, payment arrangements, address change, insurance information or to make a payment?
Please call our office at  877.201.3731
or
The mailing address is:
Business Office
P.O. Box 5600
Winona, MN 55987

The Community Memorial Hospital Business Office is open from 8 a.m. to 4:30 p.m., Monday through Friday. Please contact us at 877.201.3731, 507.457.4369 or businessoffice@winonahealth.org or contact Collections at 507.457.4488.