Medical bills can be confusing or difficult to understand. We are here to help. Patient Financial Services representatives are available Monday through Friday from 8:00 am to 5:00 pm at (888) 71-CARLE, (888) 712-2753. We can answer questions about the Carle consolidated bill which includes charges for Carle Physician Group, Carle Foundation Hospital, Carle Hoopeston Regional Health Center, Carle Richland Memorial Hospital, Carle West Physician Group, Carle BroMenn Medical Center and Carle Eureka Hospital.
If you have questions about a statement with charges from Richland Memorial Hospital prior to April 1, 2020, please call (888) 271-4565.
If you have questions about a statement of hospital charges from Carle BroMenn Medical Center and Carle Eureka Hospital with dates of service July 1, 2020 through February 26, 2021, please call (855) 665-2970 or (309) 268-5289.
Carle establishes a standard fee schedule, using a national database of fee information, which covers the cost of delivering services. Carle is not obligated to accept less than the billed amount for a service. Any unpaid balances will remain your responsibility.
Facility fees are those services charged for by the hospital. Professional fees are those charged for by physicians and other professional providers. What may appear to be a duplicate charge on your statement is a separation of the facility fee and the professional fee.
This billing model, called Provider Based Billing, complies with specific Medicare regulations. This is a nationally recognized billing model for integrated healthcare delivery systems such as ours.
Carle encourages all patients to contact their respective insurance companies to verify coverage before their scheduled visits and/or procedures.
If there is a change in your name, address or insurance information, please notify us immediately by contacting (888) 71-CARLE, (888) 712-2753.
Carle offers a number of options to assist you with paying your health care bills, including convenient payment plans and free or discounted health care.
Please review our Carle Financial Assistance Program at Carle.org/FinancialAssistance or contact Patient Financial Services for additional information.
Patient Financial Services representatives are available Monday through Friday from 8:00 am to 5:00 pm at (888) 71-CARLE, (888) 712-2753.
Carle's consolidated statement is for services rendered at several of our entities:
Not all Carle entities share the same billing system. Therefore, you will receive separate statements for charges from: Carle Medical Supply, Arrow Ambulance, Home Infusion, Carle BroMenn Medical Center (services provided 7/1/20 through 1/26/21), Carle Eureka Hospital (services provided 7/1/20 through 1/26/21), Carle’s Extended Business Office or other third party agencies. In addition, you will receive separate statements for each guarantor in your household. For questions, please contact the phone number on the statement you received.
You will receive a statement every 28 days. Guarantor statements will continue until the account’s self-pay balance reaches a $0.00 balance or forwarded to a third party agency.
Charges that are paid in full will not show on your statement. You can log into your MyCarle account to review your recent payment information.
Yes, all of your personal information is encrypted and password protected to ensure your personal information is secure.
Log into MyCarle and select the icon to view your statement or enroll in e-delivery, then click the "Profile" link. You can update your email address here so that all future notifications will be sent to the updated email address.
If any questions arise please reference the "Contact us" section on the right side of your screen for the appropriate contact information.
Your next e-Statement will be sent according to the existing statement cycle. E-delivery enables you to receive your statement on the actual statement date.
To reduce confusion on the statement, you are being presented with the total balance due. If you have a payment arrangement in place with Carle, you are expected to pay at least that amount.
Yes, you have the ability to have your Carle statement sent directly to your email address at no charge. With e-Statements you have the ability to view, print or save a copy right from your computer. The e-Statement is identical to the paper statement that you would have received in the mail.
Start by logging into your MyCarle account. If you don't have a MyCarle account, you may sign up at carle.org/MyCarle.
Once logged into MyCarle, view your billing summary and click to view your Carle statements. This will redirect you to Carle's billing portal and once there you can click on "profile" to change your delivery methods.
After you finish the enrollment process you will receive a validation email and will need to click on the link provided to activate your online account. If the link is not activated you will continue to receive paper statements.
When signing into MyCarle, click on the "Forgot Your Password" link under the password box. You will be prompted to enter your username and then you will receive a confirmation email. The email will contain a link to reset your password.
The guarantor is responsible for payments for all charges for services received. Balances are to be paid in full by the due date on the first statement. Charges pending with insurance are the responsibility of the guarantor. Co-payments, deductibles and co-insurance are due at the time of service even though charges may be pending with your insurance for payment.
If you choose not to pay online, you may send your payment along with your statement top to the payment address on your statement.
Carle accepts cash, check, Money Order, debit or credit cards (Mastercard, Discover Card or Visa). You may also pay at time of service at the registration desk or Kiosk. Payments are also accepted in person or over the phone with Patient Financial Services.
Carle offers automatic payment plans from your checking or savings accounts, as well as from a qualified debit or credit card against the statement most recently received. New balances after the automatic deduction is established will not be included; therefore, you may need to set-up a new recurring payment.
Automatic payment plans must meet certain minimum monthly payment amounts and duration limits.
Automatic payment plans will not be set-up if the guarantor/patient does not have a valid email address. Automatic payment plans will not guarantee the withholding of an account from placement with a third party vendor. A declined payment may qualify the account for placement with a third party agency.
Your payment will be processed and posted to your account within two - five business days.
If any payment results in a credit balance, we will transfer your overpayment to an open balance you have on another Carle account. If you do not have any open balances or charges pending for payment, we will send you a refund for your overpayment.
Total payment is expected for the guarantor’s portion at the time of service or receipt of statement. If you are unable to pay the full balance due, you may qualify for a monthly payment arrangement. Certain services may not qualify for an arrangement.
You may contact us at (888) 71-CARLE, (888) 712-2753 to discuss a payment arrangement. Please be aware that payment arrangements may be re-evaluated on a periodic basis. A missed payment may qualify the account for placement with a third party agency.
No, Carle will split your payment across all of your balances due.
Self-pay guarantor accounts that are not paid in a timely manner will be referred to a third party agency, such as our Extended Business Office and/or a collection agency for additional collection activities.
Third party collection agencies may engage in Extraordinary Collection Activities (ECA) including:
The Following Are Outpatient Departments of the Hospital:
You will be charged for any services performed by your physician, and receive separate charges from the hospital for facility services. Depending on your insurance, there may be an additional co-pay or co-insurance (one for the physician and one for the hospital) for one visit. If you have secondary coverage, any additional co-insurance and deductible may be covered by your secondary insurance. This billing model, called Provider Based, complies with specific Medicare regulations and is a national model of practice for integrated healthcare delivery systems such as Carle.
Provider Based status is a status sanctioned by Medicare for hospitals and clinics. It is a national model of practice for integrated healthcare delivery systems like Carle that includes hospital and physician offices. Simply put, it means that physician offices are departments of the hospital. One of the benefits of having Provider-Based status is the opportunity to participate in the Federal 340B Drug Purchasing Program.
There will be a facility charge for an office visit that will then be applied to the patient's insurance plan and be billed accordingly. The patient's insurance plan coverage will be applied to both bills and the remaining balances will be billed to the patient - one bill for hospital facility fees and one for physician services. This is no different than the way Carle currently bills for other hospital based services like the Emergency Department, Therapy Services, Lab services and surgical procedures.
If you have questions about your bills, please call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753.
The rising cost of health care and lower reimbursements prompted Carle to make this change for its physician office locations. The Medicare-approved Provider Based model ensures Carle is compensated fairly for services provided and allows Carle to participate in a federal drug purchasing program that will help lower the total cost of care.
Like all Illinois hospitals, Carle is experiencing significant reductions in reimbursement.
Carle is taking proactive steps to ensure high-quality care is available to the residents of east central Illinois now and in the future. By converting to the provider-based model, Carle is ensuring it is reimbursed fairly for services it provides. By participating in the 340B Drug Purchasing Program, Carle is trying to reduce the supply cost of providing care to patients.
Provider Based billing will not change your covered services, but it may affect your copayments and deductible.
Carle has a number of options for those struggling to pay medical bills, including payment plans and free or discounted health care through the Carle Financial Assistance Program. If you'd like to hear more on these options, call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753.
By converting most of our physician practice locations to provider-based status, Carle can participate in a program called 340B that extends discounts to hospital providers on some drugs it purchases for use in the hospital outpatient setting. The Federally-designed 340B Program enables approved nonprofit health care organizations to stretch scarce Federal resources as far as possible, reaching more eligible patients and providing more comprehensive services. The discounts available through this program will help reduce overall expenses for drug supplies.