Patient Financial Services

Patient Financial Services  

Patient Financial Representatives are available to answer questions regarding bills or other account concerns:

Monday – Friday  8:00am – 5:00pm
Phone 406-446-2345   Toll Free 877-404-9442


Financial Assistance Policy Summary


You may be eligible for financial assistance.

If you can’t afford your medical bills, we can give you a form to apply for our financial assistance program. We can help you with the application and your personal information will be kept confidential.


Beartooth Billings Clinic’s financial assistance program has clear guidelines to determine who qualifies for free or reduced charge services. The amount of financial assistance is different for each person or family, depending on your financial circumstances.


We can also connect you with public assistance programs, such as Medicaid, Medicare, Veteran’s Administration, Disability, Crime Victims and Healthy Montana Kids (HMK).


Please contact Beartooth Billings Clinic’s patient financial representatives by phone or visit our office.


Location of Patient Financial Services Office

Enter Beartooth Billings Clinic through the main entrance facing Broadway Ave (east).  Take the stairs or elevator to the second floor.  The Finance Office will be on your left, next to the balcony railing.


Call us.  We are here to help you.

Beartooth Billings Clinic Patient Financial Services


Office hours:  8 am to 5 pm Monday through Friday


(406) 446-2345 or 1-877-404-9442 (toll free)

Financial Assistance Application

Cost of Services

 Billing Information


  • Patient Financial Representatives follow State and Federal billing guidelines when billing Medicare, Medicaid, and insurance claims.
  • The staff at Beartooth Billings Clinic bills primary, secondary, and tertiary claims. 
  • Follow-up to claims billing is done on a regular basis for all claims.
  • Some claims take the involvement of the patient or guarantor to get a claim paid.  Unless the insurance company notifies us, we try to resolve payment within 90 days.
  • Beartooth Billings Clinic works with most out-of-state Medicaid programs. We are not contracted with all Medicaid programs.
  • Beartooth Billings Clinic does not bill for any ambulance services. You will get a separate bill from ambulance billing.
  • Medicare patients should be aware that some services are not covered under the Medicare program, and other services are only conditionally covered.  In these cases, patients may be asked to sign an Advanced Beneficiary Notice (ABN) acknowledging the possibility of financial responsibility should you decide to receive the services.

 The Uninsured Patient

If you have emergent medical needs but do not have insurance, Beartooth Billings Clinic Patient Financial Representatives will look at your needs and try to find resources to help you pay for your visit.  Screening questions to help locate sources for payment include the following:  

  1. Is another person responsible for your injuries, and did you file a criminal report if your injuries are crime related?
  2. Was this injury work related?
  3. Was this injury related to an auto accident caused by someone else?
  4. Have you applied for State of Montana Medicaid?  
  5. Do you have a Debit card or other Credit Cards?
  6. Have you filled out a Financial Assistance Application? Please complete and email to [email protected]  
  7. Would you like information on the First Care or Premier Medical Loan Programs.

Providers Covered Under our Financial Assistance Policy  (Note: Not all providers who provide medical services at Beartooth Billings Clinic are covered under our Financial Assistance Policy.  Providers not included in the list below are not covered by our Financial Assistance Policy.  Please call our Financial Department at 406.446.2345 to confirm the Financial Assistance Policy status of your specific provider.)


Baldwin, Hailey PA – Beartooth Billings Clinic

Bell, Douglas, MD – Billings Clinic Radiology

Bland, Zachary, MD – Billings Clinic Radiology

Bowman-Seitz, Tara, MD – Billings Clinic Radiology

Bruschwein, Dean, MD – Billings Clinic Radiology

Burfeind, Gregory, MD – Beartooth Billings Clinic

Canty, Bryan, MD – Billings Clinic Radiology

Carter, Alison, CRNA – Independent

Darby, Ronald, MD – Billings Clinic Radiology

Gale, Heather, MD – Billings Clinic Radiology

George, William, MD – Beartooth Billings Clinic

Graeve, Jonathan, MD – Billings Clinic Radiology

Hoellwarth, Christopher, CRNA – Beartooth Billings Clinic

Judice, Martha, FNP – Wilderness Medical Staffing

Knight, George, MD – Billings Clinic Radiology

Lehnherr, David, MD – Billings Clinic Radiology

Lindenbaum, Jeffry, MD – Billings Clinic Radiology

May, Eric, MD – Billings Clinic Radiology

Mattson, Daniel, CRNA St. James Healthcare

Mencel, Mark, PA - Family Medicine

Nicol, William CRNA – Beartooth Billings Clinic

Oley, William, MD – Beartooth Billings Clinic

Oley, Erin, DNP – Beartooth Billings Clinic

Paulsen, Scott, MD – Billings Clinic Radiology

Paulsen, Scott R, MD – Billings Clinic Radiology

Pinkerton, Bruce, MD – Billings Clinic Radiology

Ramirez, Drista, CRNA – Beartooth Billings Clinic

Roman, Mark, PA-C – Wilderness Medical Staffing

Sheibley, Daniel, MD – Billings Clinic Radiology

Sheiko, Mark, MD – Billings Clinic Pathology

Sillery, John, MD – Billings Clinic Radiology

Soueidi, Elie, PA – Billings Clinic Orthopedics & Sports Medicine

Starr, Linda, MD – Billings Clinic

Valencia, Ruby, CRNA – Beartooth Billings Clinic

Waples, Flora, MD – Beartooth Billings Clinic

Whitehead, Douglas, PA – Beartooth Billings Clinic




Frequently Asked Questions

• What if I don’t have my insurance card with me at the time of service?
 For billing purposes, an insurance card is required to send a claim to your insurance company.  If you do not have your card with you, please bring it to our facility as soon as possible or phone a representative with the required information.

 • What forms of payment does Beartooth Billings Clinic accept?
 We take cash, check, debit cards or credit cards (American Express, Visa, MasterCard, and Discover).

• When do I need to pay my deductible or co-pay?
 Deductibles and co-pays are collected at the time of service by the Nursing, Registration & Finance staff.

• How do you know how much my deductibles or co-pays will be, if they are not listed on my card?
When we pre-register outpatient diagnostic services and therapy services, it may be necessary to contact your insurance to make sure the insurance is aware of your services.  At that time your insurance company provides information regarding your deductible or co-pay

• I had x-rays when I received services at Beartooth Billings Clinic.  Will the radiologists charges to read my x-ray be on my hospital bill?
 Your x-ray reading charges will be included on your hospital bill.

 • What if my insurance company denies the claim, or I receive services not covered by my policy?
Our Patient Financial Representatives are available to assist you with your insurance issues and concerns.

• Will I get an itemized statement?
Our statements are not itemized, but we will gladly mail an itemized statement at your request.

• What happens when I cannot pay my bill?
Beartooth Billings Clinic works with the patient to ensure the patient has the ability to pay their bill with reasonable monthly payments. We also offer Financial Assistance, and Medical Care Loan Programs. 

●  Who can help with my other questions and concerns?
 You may contact your Patient Financial Representative according to your last name:

(A-G + Medicare) Valerie C. (406) 446-0677
(H-O + Medicaid) Lauri K. (406) 446-0515

(P-Z) Gail S. (406) 446-0513

Linda L. (406) 446-0674

Pre Authorization  Katie W. (406) 446-0539

Thank you for choosing Beartooth Billings Clinic for your health care needs. We hope this information will help you better understand our billing process and your financial obligations when you visit our facility.



 Beartooth Billings Clinic Financial Assistance Policy (Revised 2/27/2018)

Policy:  Beartooth Billings Clinic (BBC)  provides care to all persons, including those in financial need.  BBC will identify candidates for financial assistance based upon financial need, using criteria established in this policy.  BBC’s policy is to offer financial assistance to persons in need as early as they can reasonably identify those persons, as provided in this policy with due regard to each person’s financial privacy.

The BBC Financial Assistance Program is not a substitute for personal responsibility.  Patients are expected to cooperate with BBC’s procedures for obtaining financial assistance and to contribute to the cost of their care based on their individual ability to pay.  BBC established the following provisions in order to manage financial resources in a responsible manner and to assist the most persons in need.

Purpose: This policy allows Beartooth Billings Clinic (BBC)  to determine eligibility for financial assistance for patients who meet the established criteria.  Financial assistance is approved only for emergency and medically necessary services.  This policy does not provide assistance to persons with sufficient financial means who refuse to pay for the services rendered to them or their family members.  The financial assistance program is intended to be the last payment resort after exhausting all other options.  The policy also identifies steps BBC will take to communicate about the availability of financial assistance.  Any information gathered by BBC during this process will be subject to BBC’s policies on protection of confidential information.


 1.  Assets – Property of all kinds, real and personal, tangible and intangible that is legally subject to the payment of the patient’s debts, including, but not limited to, cash on hand, checking and savings accounts, vehicles, mineral rights, stocks, mutual funds, and any other investments; provided, however, that “income” as defined herein, shall not be included in determination of assets.

 2.  Financial Assistance – Health care services that have or will be provided but are never expected to result in cash inflows.  Financial Assistance results from a provider’s policy to provide health care services free or at a discount to individuals who meet the established criteria.

 3.  Family – Defined by the Census Bureau as a group of two or more people who reside together and who are related by birth, marriage or adoption.  According to Internal Revenue Service’s rules, if the patient claims someone as a dependent on their income tax return, they may be considered a dependent for purposes of the provision of financial assistance.

 4.  Family Income – Income is the total annual cash receipts before taxes from all sources which includes, but is not limited to, wages and salaries before deductions, net receipts from non-farm self-employment income, net receipts from farm self-employment, social security payments, railroad retirement, unemployment compensation, workers compensation benefits, veteran’s payments, public assistance payments, Supplemental Security Income (SSI), Social Security Disability Income, alimony, child support, military allotments, private pensions, government pensions, annuity payments, college or university scholarships, grants, fellowships, dividends, interest, net rental income,  net gambling or lottery winnings, assistance from outside the household and other miscellaneous sources.   Noncash benefits (such as food stamps and housing subsidies) do not count.

 5.  Federal Income Poverty Guidelines – The most recently published federal income poverty guidelines for a household, which shall be revised as they are published by the U.S. Government.

 6.  Legal Guardian – A recognized legal surrogate for the patient with regard to medical and financial decisions, who would be authorized under Montana law to receive confidential health care information on the patient.  This includes parents who are legally responsible for their minor children, close family members who are recognized by the patient or Montana law as having the legal ability to act on the patient’s behalf with regard to medical and/or financial decisions, or a legal guardian under Montana law.

 7.  Responsible Party – The patient or any individual legally obligated to pay for the patient’s debts for medical care, excluding third party payers.  An adult patient living in the household other than a spouse – including an adult, unmarried child living at home – will be considered the “responsible party” for purposes of this policy, without regard to the assets and income of the other relatives living in the household (except a spouse).

 8.  Third party payer – Any financial agent or entity, such as an insurance carrier, HMO, employee benefit plan, or government payer, with a legally enforceable obligation to pay for services billed to a patient by BBC.  (Responsible parties, as defined herein, are not considered third party payers).

 9.  Underinsured – The patient has some level of insurance or third-party assistance but still has out-of-pocket expenses that exceed his/her financial abilities.

 10. Uninsured – The patient has no level of insurance or third party assistance to assist with meeting his/her payment obligations.


 A.  Services Eligible under This Policy


1.  Emergency medical services provided in an emergency room setting.

2.  Services for a condition which, if not promptly treated would lead to an adverse change in the health status of an individual.

3.  Non-elective services provided in response to life-threatening circumstances in a non-emergency room setting.

4.  Medically necessary services, evaluated on a case-by-case basis at Beartooth Billings Clinic’s discretion.

 B.  Application Process:

 1.  All patients (or their legal guardians) desiring consideration for BBC’s Financial Assistance Program must apply for assistance in writing and must disclose financial information that BBC considers pertinent to the determination of the patient’s eligibility for financial assistance.  Financial assistance is available only to cover charges billed to patients by BBC.  If a patient qualifies under the presumptive financial eligibility criteria outlined in E below, no application in writing will be required to be furnished by the patient.

 2.  Patients (or their legal guardians) requesting financial assistance must authorize BBC to make inquiries of employers, banks, credit bureaus, and other institutions for the purpose of verifying information BBC requires in order to determine eligibility for financial assistance.

 3.  The completed Financial Assistance Application must be accompanied by legible and accurate photocopies of any of the following documents as needed for purposes of verifying eligibility:

  a. Complete IRS tax returns for the most recently completed calendar year of all responsible parties.

b. Payroll check stubs and/or other documentation of monthly income sources reflecting income of all responsible parties for at least the three months prior to the application.

c. Written verification from public assistance agencies, such as Medicaid or county medical, reflecting denials for eligibility (upon request) and as appropriate.

 d. Written verification of denial for unemployment or worker’s compensation benefits (upon request) and as appropriate.

 e.  Copies of bank statements and investment accounts for at least the three months prior to the application.


4.  If an application has been made for Financial Assistance at another healthcare facility, BBC will accept a copy of the documentation from the other facility as long as there is sufficient information to verify eligibility.

 5.  Income will be annualized, when appropriate, based upon documentation provided.

 6.  Confidentiality of information will be maintained for all who seek and/or receive assistance as required by BBC policy and federal and state law.  Copies of the supporting documents will be kept with the application form.

 7.  BBC may request additional documentation and/or information that is needed to verify eligibility for assistance to complete the processing of the application.

 C.  Eligibility Criteria

 1.  Financial assistance under this policy is available without regard to the patient’s race, creed, color, national origin, age, disability, handicap status, health care condition or marital status.

 2.  Patient care which is not medically necessary, including elective, cosmetic or other care deemed to be generally non-reimbursable by traditional insurance carriers and governmental payers shall not be considered eligible for financial assistance.

 3.  Minor children/Divorced parents – For the minor children of divorced parents, when both parents/legal guardians are responsible parties, information regarding both parents will be required to complete a Financial Assistance Application. However, if after reasonable efforts, circumstances prevent the applicant from obtaining financial information from the other parent, information from responsible parties residing in the same household of the minor child will be used to make the determination. .

 4.  Financial assistance provided by BBC under this policy is secondary to all other third parties and financial resources available to the patient.  This includes, but is not limited to:

             a. Group or individual medical insurance plans

            b. Employee benefit plans

            c. Worker’s Compensation plans

            d. Medicaid, State of County Medical programs

            e. Other state, federal, or medical programs

            f. Third parties adjudged to be legally liable for a patient’s medical expenses

                (e.g., auto accidents or personal injury claims).

            g. Any other persons or entities who have a legal responsibility to pay for the medical                    service.

            H. Crime Victims eligible for the Victim’s Compensation Program

            i.   Medical care costs covered by government programs of other countries.

 5.  To the extent that charges for medically necessary services provided by BBC are not paid by third-party coverage, a 100%  financial assistance reduction may be provided to cover BBC’s charges for patients who satisfy the following conditions:

             a.  The net available assets of the responsible parties are no greater than two times the Federal Income Poverty Guidelines, adjusted for household size, and

 b. Gross income of the responsible parties is at or less than the 110% Federal Income Poverty Guidelines, adjusted for household size.


6.  Partial financial assistance may be provided if the following conditions are met:

             a.  If net available assets of the responsible parties are no greater than two times the  Federal Income Poverty Guidelines, adjusted for household size, and


            b. The gross income of the responsible parties is between 110% and 300% of the   Federal Income Poverty Guidelines as adjusted for household size.

 7.  Partial assistance will be determined as a percentage of the amount owed to BBC based upon where the applicant falls on the Federal Income Poverty Guidelines between 100% and 300% of income.

 8.  Applicants who do not otherwise qualify for financial assistance under this policy or who qualify for a lower level of assistance then they feel they need, may request assistance at higher level than otherwise established in this policy. BBC will consider the following circumstances and other similar circumstances in evaluation of that request:

a.  Catastrophic medical debt will be defined as medical debt which is <25% of the annual income of the patient’s family.  All BBC debt in excess of the 25% would be adjusted off to charity care.


1.  For uninsured patients, the time frame calculation for the annual income cap will be based on  the current 12 month period.

                        2.  For underinsured patients, the time frame calculation for the annual income cap will be based on the previous12 month calendar year (January – December).


9.  Furthermore, other circumstances may compellingly show that full payment of outstanding medical expenses could cause serious social and financial hardship to the patient or the household.  These circumstances may warrant that an exceptional financial assistance reduction be considered. 

 D.  Eligibility Determination

 1.  When considering a financial assistance application, BBC may request the patient first pursue other sources of payment, including but not limited to Medicaid, county or state medical assistance, crime victims, Supplemental Social Security Income or Disability Income (SSI or SSDI), or other third-party payers as appropriate.  If the patient is unwilling to pursue other potential third-party payer payment sources in a timely manner, BBC is not obligated to consider the patient’s request for financial assistance.

 2.  The instructions required to complete the Financial Assistance Application will be furnished to patients, their legal guardians, or any persons authorized to act on behalf of the patient.  BBC will provide personnel to assist patients/legal guardians in understanding the criteria for eligibility and how to fill out the application.

 3.  The patient and/or responsible party will be given twenty (20) business days from receipt of an application to complete and return the Financial Assistance Application.  Special circumstances may warrant an extension of the twenty (20) business days allocated to complete the Financial Assistance Application.. 

 4.  Financial assistance may be determined at the time of application or will occur within 45 days after a completed application has been submitted.  Approved applications are good for 6 months from the date of submittal at which time applicants will need to reapply.

 5.  If BBC determines that any material documentation or information submitted is untrue or falsified, the application will be denied.  BBC will not reconsider an application if it determines that the applicant has intentionally misrepresented material information related to eligibility criteria or documentation.

 E.  Basis for Determination of Patient Responsible Amount


1.       For 2017, BBC is using the “look-back method” to calculate the Amount Generally Billed (AGB).  BBC divides the sum of total payments made by Medicare, BCBS and other payers by the sum of total hospital charges for those payers to identify the “AGB percentage”.  For 2017 that percentage is 30%.

2.      Partial assistance may be provided as a percentage of the AGB based upon where the application falls on the Federal Poverty Guidelines between 100% and 200% of income.

 F.  Presumptive Financial Assistance Eligibility

 There are instances when a patient may appear eligible for Financial Assistance but there is no financial assistance form on file due to lack of supporting documentation.  Often there is adequate information provided by the patient or through other sources which could provide sufficient evidence to provide the patient with Financial Assistance.  If BBC  uses outside agencies in determining estimated income amounts for the basis of determining Financial Assistance eligibility and potential discount amounts due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write off of the account balance.  Presumptive eligibility may be determined on the basis of individual life circumstances that may include:

            1.  State-funded prescription programs.

            2.  Homeless or received care from a homeless clinic.

            3.  Participation in Women, Infants and Children programs (WIC).

            4.  Food stamp eligibility.

            5.  Subsidized school lunch program eligibility.

            6.  Low income/subsidized housing is provided as a valid address.

            7.  Patient is deceased with no known estate.

            8.  Energy assistance program.

 G.  Asset Exclusions

 1.  BBC may exclude the following assets from the net available household asset computation without affecting eligibility for the Financial Assistance Program.

             a. A home which is the primary residence with a value of up to $130,000 shall be   exempt.

            b. Personal property for use in the home.

c. Vehicle(s) up to a combined value of $15,000 with value based on the current blue   book appraisal amount (excludes motorhomes, RV’s)

d.  Liquid assets including cash, savings, stocks, bonds, etc. up to $1000 for one person        

     $2,000 for two people and $500 for each additional person in the household.

e.  Other assets directly related to the earning and livelihood of the household are exempt if deemed necessary and reasonable to the continued ability to earn a              livelihood.             


H.  Liability Limitations

1.  BBC may exclude the following liabilities from the net available household asset computation:


            a. Credit cards debt of up to $1500 unless documented for medical expenses.


            b. Any portion of the home or vehicle used as an asset exclusion will be exempted as a liability up to the outstanding amount due or the maximum asset limitation amount.

I.  Communication of the Financial Assistance Policy to Patients and the Public

Notification about Financial Assistance availability from BBC, which shall include a contact number, shall be disseminated by BBC by various means, which may include, but are not limited to, the publication of notices in patient bills and by posting notices in emergency rooms, urgent care centers, admitting and registration departments, and patient financial services offices that are located on the facility campus, and at other public places as BBC may elect.  Information shall also be included on facility websites and in the Conditions of Admission form.  Such information shall be provided in the primary languages spoken by the population serviced by BBC.  Referral of patients for Financial Assistance may be made by any member of the BBC staff or medical staff, including physicians, nurses, financial counselors, social workers, case managers, Chaplin’s and religious sponsors.  A request for Financial Assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.

 This policy will be made available to government and not-for-profit social service agencies that request it. Information on the program’s availability and how to apply, as well as educational materials about the program will be available to patients through the admission process.  As soon as a patient indicates that he/she may not be financially able to pay for services, he/she will be referred to a Patient Financial Representative to be considered for eligibility for the Financial Assistance Program.  BBC will provide personal assistance in understanding the program and applying for assistance to any patient/legal guardian who requests assistance.

J.  Notification

 1.  BBC will notify the patient, patient’s legal guardian, and/or responsible party in writing of the final determination within forty-five (45) calendar days of BBC’s receipt and determination of completed application. The notification will include a determination of the amount for which the patient and/or responsible party will be financially accountable.  Denials will be written and include instructions for appeal or reconsideration.

 K.  Appeals

 1.  The patient and/or responsible party may appeal a denial of eligibility for financial assistance by providing additional information to the Finance Department within 14 calendar days of receipt of notification of denial.  All appeals will be reviewed by the Director of Finance and/or CEO for a final determination.  If the final determination affirms the previous denial of financial assistance, written notification will be sent to patient, legal guardian and/or responsible party.

 2.  If an appeal is filed within 14 calendar days of final determination, any collection efforts will be suspended pending the final outcome of the appeals process.

 L.  Collection Agency Accounts

 1.  Accounts assigned to an outside collection agency or attorney will not be eligible for financial assistance.  However, in unusual situations where a patient’s circumstances have changed after an account is assigned to an outside collection agency or attorney, BBC will consider exceptions to this provision of this policy.  The  Patient Financial Services Manager, Director of Finance and/or CEO has the authority to grant exceptions.

 M.  Policy Administration

 1.  This policy shall be supervised by the  Manager of Patient Financial Services and Director of Finance who shall be responsible for administrating the program and assuring that determinations for financial assistance meet the requirements of this policy.  The Patient Financial Representative Manager shall direct the Patient Financial Representatives to notify the patient and/or responsible party of the final determination.