Billing
For billing questions please call our billing company directly at 208.966.4437 or email billing@coeurvitality.com!
Please have an up-to-date insurance card on hand at the time of your first appointment. Please also notify the clinic of any changes in your insurance coverage as soon as possible to prevent receipt of non-covered bills at your residence.
Accepted Insurances:
Blue Cross
Regence Blue Shield
United Health Care
Idaho Physicians Network
Brightpath/Select Health/Mtn. Health Co-Op
SPECIAL NOTE: Current Cigna, Tricare, and adult Medicaid patients at Coeur Vitality are "grandfathered" in at our practice, but we are not currently accepting NEW patients on these insurance plans. We unfortunately are also no longer able to accommodate current patients who choose to transition over to any of these listed insurance plans, as they have increased administrative burden of caring for our patients while cutting reimbursement for services year after year in a time when inflation and cost of medical staffing is only increasing.
(See below for discussion on cash-pay options outside of insurance...)
Coeur Vitality is proud to be in the Kootenai Care Network.
If you are a part of Dr. Burns', Dr. Bell's, or Dr. Harnisch-Boyds' concierge Signature MD membership panel, please remember insurance will still be billed for all office visits, labs, and procedures. Signature MD membership fees are covering your membership benefits above and beyond services that are NOT covered as a part of your insurance contracted services, and both copays and deductibles will still be applicable depending on your insurance plan.
If you ever receive a bill that you feel is incorrect, please notify our billing company, (208) 966-4437 or email them at billing@coeurvitality.com as soon as possible so that they can address the issue.
Interwest Health
Aetna
Medicare w/ supplemental or HMO coverage
Co-pays & Up To Date Insurance Information
Co-payment and Keeping Insurance Information Up To Date: Our contracts with the insurance companies require us to collect co-pays at the time of service. We will bill all health insurance companies that we are contracted with as long as you provide the correct billing information (a copy of your card works best). If you do not have a co-pay listed, you will be required to pay $30 at the time of service. We suggest you call the number on the back of your card and know your co-pay and deductible amount. It is your responsibility to know your coverage, please make sure you have us listed as your primary provider, and be sure our office is contracted with your insurance. If your Insurance is updated or changed, it is your responsibility to inform us. If we bill old information, this frequently causes a several month delay in payment and a re-billing fee might apply.
Annual Preventative & Medicare Wellness Appointments: It is our clinic's policy to collect a co-pay at the annual Preventative physical and Medicare Wellness visits as frequently we are discussing much more than just immunizations and preventative screenings, which does warrant an additional E&M office visit code be applied to your account. We find it very valuable to be comprehensive and intentionally touch on all chronic conditions once annually so they do not get lost to follow up, get any Rx refills lined up for the year after making sure all are still important & safe in your care, review labs together in detail addressing abnormals at that time, and in some cases ordering new diagnostic tests or referrals. To accomplish this level of detail to your care we set aside much longer appointments, and this frequently saves you from being asked to come back for a separate appointment to manage these other conditions! If no additional medical conditions or concerns are addressed outside of preventative wellness screening and review, then your copay will remain as a credit on your account and be applied to your next visit!
3rd Party Claims: If you are involved in a civil suit, auto, home or business owner’s accident and are seeking payment from the responsible party, we expect payment at the time of service. We do not bill the responsible party’s insurance or attorney for your services in these situations due to the length of time it takes to settle these claims. We will provide you a copy of your statement so you can bill the responsible party.
Outside Services Labs, Diagnostics, and More
Laboratory and Other Ancillary Services Bill Separately: Although Coeur Vitality provides many services within the office, at times it is necessary to utilize services from other ancillary businesses to complete your care. Our clinic is partnered with LabCorp for our routine lab work and processing. You will receive a separate statement of charges for services provided outside our office, as we do not bill for these services. An example of these services would include: Lab Corp, special specimen evaluation labs, radiology services, and other specialized diagnostic testing. Any questions with statements from these ancillary services, we ask that you contact them directly as our billing department is not privy to these details. We don’t keep track of their prices directly unfortunately as they are always fluctuating, and coverage varies with each insurance plan.
Cash Pay Patients Without Insurance Coverage
If you do not have insurance or are undergoing services or procedures not covered by insurance (ear piercing, circumcision, nutrition counseling, botox, etc), we ask for payment at the time of service.
We offer a 20% cash discount to our clinic visit fee-schedule to patients paying for their services in full at the time of their visit. Short-term payment plans are available but must be requested prior to services. When payment plans are instituted, no discounts apply.
We aim to be transparent with our prices. We recognize that while you can certainly find less expensive primary care in town, we feel that the time and detailed care we invest in our patients at Coeur Vitality is truly worth the value!
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New patient clinic visit (based on complexity and time spent):
99202. CV price $143…. Cash price at $114
99203. CV price $221…. Cash price at $177
99204. CV price $330…. Cash price at $264
99205. CV price $436.... Cash price at $349
Established patients (based on complexity and time spent):
99212. CV price $112…. Cash price at $90
99213. CV price $179…. Cash price at $143
99214. CV price $254…. Cash price at $203
99215. CV price $357.... Cash price at $286
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Established patients (based on complexity and time spent):
99212-95: CV price $112…. Cash price at $90
99213-95: CV price $179…. Cash price at $143
99214-95: CV price $254…. Cash price at $203
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99391 age 0-12 months CV price $195.... Cash price at $156
99392 age 1-4 years CV price $208.... Cash price at $166
99393 age 5-11 years CV price $207.... Cash price at $165
99394 age 12-17 years CV price $227.... Cash price at $181
99395 age 18-39 years CV price $232.... Cash price at $185
99396 age 40-64 years CV price $247.... Cash price at $197
99396 age 65+ years CV price $266.... Cash price at $212
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***Circumcision: $390
***Ear Piercing: $110 (price includes FDA-approved Blomdahl piercing system, hypoallergenic piercing earrings, and send home post-procedure cleaning wipes).
***Botox: Intro (first time only) price of $11/unit, then $12/unit