Patient Financial Services is open Monday-Friday 8:00 am to 5:00 pm | 970-625-6555 or 970-625-6556
Grand River Health’s Patient Financial Services department guarantees all patients will be treated fairly regardless of their ability to pay. Patient Account Representatives can answer questions about your hospital and/or clinic bill(s). They can also help you understand financial policies and billing procedures. Patient Financial Services Monday-Friday 8:00 am to 5:00 pm 625-6555 or 625-6556 We offer automatic credit/debit card payment programs, also the convenience of paying your bill online, Commitment to Charity Care, Compromiso a Asistencia de Caridad
There are many choices available when it comes to health care. We appreciate you using Grand River Health services for any of your needs. We pride ourselves on being your local choice for health procedures and visits. We hire talented, experienced and compassionate providers and offer a comfortable facility for you and your family. We understand that the costs of service can seem daunting, but we are here to help you through every step of the way. We have programs that can help you if you are uninsured or underinsured, as well as staff that are here to answer any of your questions. Self-pay and balance-after-insurance accounts may be forwarded to our Extended Business Office, AR Services, if not paid within 30 days of the statement you receive from Grand River Health. They will work on our behalf to arrange interest-free payment plans with all our patients. AR Services also offers a Medical Financing at 12% interest up to 5 years, a great option for those patients whose balances cannot be settled in 6 months to a year. AR Services refers accounts to A-1 Collection Agency if not paid in full within 90 days or if a payment plan has not been complied with. A-1 Collection Agency does report to the credit bureaus and charges interest. We encourage you to work with us, or AR Services, to avoid having your accounts sent to the collection agency. If you get a bill you do not understand or may believe to be incorrect, please contact our PFS Department at 970-625-6555.
Grand River Health reserves the right to revoke financial assistance if it determines person applying for financial assistance/charity care, has knowingly mis-represented their financial needs, or any other information necessary to determine financial status for purposes of this policy.
Grand River Health reserves the right to extend or deny financial assistance/charity care to persons for other administrative, legal reasons.
However, Grand River Health will not deny nor extend financial assistance on the basis of race, color, creed, age, religion or national origin. The Chief Financial Officer will exercise final discretion regarding the use of financial assistance/charity care for GRHD patients.
If you do not qualify for CICP, Grand River Health offers an in-house charity program, please call Patient Financial Services 970-625-6555 for information.
The staff will be more than happy to assist you with your financial questions.
Beginning January 1, 2020, Colorado state law protects you* from “surprise billing,” also known as “balance billing.”
What is surprise/balance billing, and when does it happen?
You are responsible for the cost-sharing amounts required by your health plan, including copayments, deductibles, and/or coinsurance. If you are seen by a provider or use services in a facility or agency that are not in your health plan’s network, you may have to pay additional costs associated with that care. These providers or services at facilities or agencies are sometimes referred to as “out-of-network.”
Out-of-network facilities or agencies often bill you the difference between what your insurer decides is the eligible charge and what the out-of-network provider bills as the total charge. This is called “surprise” or “balance” billing.
When you CANNOT be balance-billed:
Not every service provided in an emergency department is an emergency service. If you are receiving emergency services, in most circumstances, the most you can be billed for is your plan’s in-network cost-sharing amounts. You cannot be balanced-billed for any other amount. This includes both the emergency facility and any providers that see you for emergency care.
Non-Emergency Services at an In-Network or Out-of-Network Facility
The facility or agency must tell you if you are at an out-of-network location or at an in-network location that is using out of network providers. They must also tell you what types of services may be provided by any out-of-network provider.
You have the right to request that in-network providers perform all covered medical services. However, you may have to receive medical services from an out-of-network provider if an in-network provider is not available. In this case, the most you can be billed for covered services is your in-network cost-sharing amount (copayments, deductibles, and/or coinsurance). These providers cannot balance bill you.
- Your insurer will pay out-of-network providers and facilities directly. Again, you are only responsible for paying your in-network cost-sharing for covered services.
- Your insurer must count any amount you pay for emergency services or certain out-of-network services (described above) toward your in-network deductible and out-of-pocket limit.
- Your provider or facility or agency must refund any amount you overpay within 60 days of being notified.
- A provider, hospital, or outpatient surgical facility cannot ask you to limit or give up these rights.
If you receive services from an out-of-network provider or facility or agency in any OTHER situation, you may still be balance billed, or you may be responsible for the entire bill. If you intentionally receive non-emergency services from an out-of-network provider or facility, you may also be balance billed.
If you think you have received a bill for amounts other than your copayments, deductible, and/or coinsurance, please contact our billing department, or the Division of Insurance at 303-894-7490 or 1-800-930-3745.
* This law does not apply to all health plans and may not apply to out-of-state out-of-network providers. Check to see if you have a “CO-DOI” on your ID card; if not, this law may not apply to your health plan
Grand River Health is in-network for the following insurance companies:
- Blue Cross
- Colorado Medicaid
- Coventry Health
- Health Smart
- Multi Plan: PHCS
- PHP (Physician Health Plan)
- PPO – USA
- Rocky Mountain Health Plan
- Tri-West/Tri care
- United Healthcare
Other Insurance Accepted
We will gladly bill all insurances.
Grand River’s Financial Services Department staff will be more than happy to assist you with your financial questions.
Monday-Friday 8:00 am to 5:00 pm