Insurance Billing Frequently Asked Questions

1. Will Uintah Basin Healthcare contact my insurance for precertification or authorization?

It is recommended that you contact your insurance plan or provider directly if you have any questions or concerns about precertification or preauthorization.

2. I have multiple health insurance companies. How do I know who to bill?

Coordination of benefit rules apply. Contact your provider for help in determining the proper order for billing.

Utah Department of Insurance – Consumers (https://insurance.utah.gov/)

3. If my insurance doesn’t consider Uintah Basin Healthcare as a preferred provider, will you bill my insurance?

Uintah Basin Healthcare bills all insurance carriers. If your insurer does not include Uintah Basin Healthcare as a preferred provider, you may be billed for non-covered charges or be responsible for reduced benefits.

Please contact your carrier to verify your coverage and/or benefits.

4. What if my insurance company does not authorize or cover services?

You will be responsible for charges your insurance company does not authorize or cover. It is recommended that you contact the ordering provider to discuss whether to receive the service and for other possible funding sources.

5. Why aren’t all services covered by my insurance company?

Under any plan, there may be services that are not covered because the insurance company may consider them routine or unnecessary. If you disagree with the decision, you should contact your insurance company for more information.

6. What if my claim is denied?

Contact a UBH Patient Financial Advocate at (435) 725-2060 for additional assistance.

7. What if my insurance coverage changes?

You should bring your current insurance card to your next visit. You should also contact a UBH Patient Financial Advocate to provide updated information.

8. What should I do if my insurance sends its payment directly to me?

Insurance payments for claims that are sent directly to you, whether from primary or secondary insurance companies, should be used to pay outstanding charges to Uintah Basin Healthcare. Patients are financially responsible for all outstanding charges. Once you receive the check from your insurance company, please endorse the back of the check “Pay to the order of Uintah Basin Medical Center” then sign your name, and forward it to our office.

If you choose to cash the check, you will be responsible for payment in full on your account.

9. Why do I still owe a balance if my insurance company has paid?

Based on your insurance plan, you may be responsible for deductibles, copays and co-insurance for fees not covered by your insurance company.

10. What does usual and customary mean? How does this work?

The usual and customary fee schedule is set up so that non contracted providers are reimbursed at a rate comparable to other HMO reimbursements in the same geographical area. The patient is responsible for charges that exceed the usual and customary amount.

11. If I receive services because of an accident at work, will you send the claim to my employer?

Due to confidentiality, we are unable to send bills directly to your employer. However, we will send claims directly to your employer’s Workers Comp carrier. We will need their name, address and claim number. You may take your bill to your employer and work directly with them.