Billing Policy and Information

Our mission is to provide accessible, affordable care to youth. 

• All children are able to receive health care services in the clinic regardless of their ability to pay or their health insurance status. 

• You will never be sent to collections for your inability to pay a clinic bill.

What you need to know: our Billing Policy

Our mission is to provide accessible, affordable care to youth.

1. All children in the district of the school-based health center are able to receive health care services in the clinic regardless of their ability to pay or their health insurance status. 

2. Rise Up Health Clinics will never initiate collection actions for any unpaid bills.

3. Reasonable effort will be made to determine insurance eligibility status and ability to pay, but in no manner to deter a patient from requesting services from the SBHC.   

There are options for patients if they have challenges paying the bill.

• Contact Billing@RiseUpHealthClinics.org for payment options. OR

• Any payment received is considered payment in full. OR

• If you are unable to pay, your bill will be covered by the Rise Up Health Clinics Health Equity Fund. 

Policy

Patient Responsibility

• Health insurance will be billed after the patient’s visit.

• The patient is responsible for any and all co-payments, deductibles, and coinsurance. Any balances not covered by insurance become the responsibility of the patient. 

• Patients are responsible for contacting their insurance company with any questions about any denied charges or out-of-pocket amounts that they owe.

Services Covered

• It is the patient’s responsibility to determine which services are covered by insurance, including but not limited to, sports physicals, well-child checks, and preventative care. 

• If laboratory testing is needed that cannot be completed in the clinic, specimens may be sent to Rise Up Health Clinics’ contracted laboratory for processing. The laboratory may bill the patient or their insurance directly for these services. Any charges for outside laboratory services are the responsibility of the patient or the responsible party. Rise Up Health Clinics does not determine or control the laboratory’s fees, billing practices, or payment rates.

Waiving Health Insurance

• If the patient chooses not to use their health insurance (commercial plans only) for the clinic visit, they will be billed at the self-pay rate. They will need to sign a waiver in order to bypass submitting the claim to insurance. Good Faith Estimates will be available for patients, per the Good Faith Estimate policy.  

• Patients who receive insurance through Minnesota Health Care Programs (MHCP) are not eligible to waive insurance. 

Contracted Insurance Plans

• If the insurance does not contract with RUHC or if all services provided by the clinic are not covered by the patient’s insurance, the patient will be financially responsible for any balance not covered by their insurance.The patient may:

  1. Request a superbill that they can submit to insurance, OR

  2. Elect not to use insurance and be billed at the self-pay rate

Incorrect Insurance Information

• If the insurance information the patient submits to the clinic is incorrect, the patient will be responsible for payment of the visit and submit charges to the correct plan. The patient may:

  1. Request a superbill that they can submit to insurance, OR

  2. Elect not to use insurance and be billed at the self-pay rate

Uninsured

• If the patient does not have health insurance, they will be billed at the self-pay rate.

Clinic Bills

• The patient will receive their bill from the clinic for the amount that they owe following the clinic visit.

• If the patient is financially able, they will pay the bill within 30 days of the date the bill was issued. The clinic will send out bills via email or text weekly for 60 days. If needed, bills may be sent out via mail. 

• Rise Up Health Clinics will issue bills for the health care provided at the clinic and at mobile vaccine clinics.

  Receiving Bills

• The patient may receive a Rise Up Health Clinics bill for a variety of reasons. For example:

  1. The patient may have a copay, coinsurance, or deductible 

  2. The patient may not have health insurance, or RUHC may not have the patient’s current insurance information on file

  3. The service the patient received may not be covered by their insurance

  4. The patient may have received care outside of their provider

  5. The patient may not have obtained a required referral from their primary care provider

• Clinic bills will be emailed and sent via text. Message and data rates may apply. You may opt out of text messages at any time by emailing Billing@RiseUpHealthClinics.org.

  1. Bills will be emailed from pm-practicefusion@practicefusion.com.

Additional Billing Processes 

Good Faith Estimate Statement 

Primary Care Price Transparency

Estimated Cost of Care: Preventive (Well) Visit

Estimated Cost of Care: Sick Visit

Estimated Cost of Care: Sports Physical

Patient Billing Forms

Election to waive insurance

Revoke self-waiver