Billing Support Services
View Your Bill & Make A Payment
Connect to the KVHC Patient Portal to instantly view your bill and/or pay all or part of your balance using your credit card. It’s fast and easy!
Billing Questions and Help
Click the button below to fill out our Billing Support form. Our staff will be happy to reach out and assist you!
Digital Insurance Card
More and more insurance companies are sending digital insurance cards instead of physical cards. If you have a digital copy of your insurance card, you can upload and send it to us here.
KVHC accepts most insurances including but not limited to: MaineCare, Medicare, Medicare Advantage, Anthem Blue Cross & Blue Shield, Aetna, Cigna, Delta Dental, Harvard Pilgrim, Mednet, Maine Community Health Options and Tricare. KVHC will bill your insurance company for you. Please bring all current insurance cards with you to your appointments so that we have the most accurate data for faster processing of your insurance claims. You are responsible for any prior authorizations and/or referrals that may be necessary of your insurance plan. Feel free to contact the billing department by calling 538-3700 or toll free 1-866-366-5842 with any questions or concerns you may have. As always, we will reprocess any claims and advocate for you with the insurance companies on any services that may have been denied.
At the time of your visit, you will be asked to pay your co-pay or to make a payment on your account when you check out. If you require a payment plan, you may contact the billing department to assist you in setting up a reasonable plan. You may also print off the KVHC payment plan authorization form below to bring with you at time of visit or mail in.
At the time of your visit, you will be asked to pay your co-pay or to make a payment on your account when you check out. If you require a payment plan, you may contact the billing department to assist you in setting up a reasonable plan. You may also print off the KVHC payment plan authorization form below to bring with you at time of visit or mail in.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. KVHC can provide you with a Good Faith Estimate if you do not have insurance or you are not billing insurance for your visit.
If you wish to receive a “Good Faith Estimate”, you can ask a Patient Access Representative at your next visit, or click the following link to request an estimate electronically: Good Faith Estimate Request Form
Good Faith Estimate and Disclaimer
Patients have the right to request information about the price of medical services pursuant to section 1718-C, subsection 1 or 2 in any written document provided to a patient prior to rendering health care treatment for the purpose of obtaining informed consent to the treatment.
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If your provider addresses additional items while at the visit, you could be charged more than the initial estimate.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
You may contact Katahdin Valley Health Center to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
If you are billed more than $400 above the amount on this Good Faith Estimate, you may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call DHHS Regional Office (207) 287-3707.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call DHHS Regional Office (207) 287-3707.
KVHC Sliding Fee Discount Program
You may be eligible for a discounted cost on the services we provide, even if you have insurance! The Sliding Fee Discount applies to all of our services including medical, dental, optometry and pharmaceutical.
For more information or to apply, please click here or call our Patient Assistance department at 1-866-366-5842 ext. 325.
If you wish to receive a “Good Faith Estimate”, you can ask a Patient Access Representative at your next visit, or click the following link to request an estimate electronically: Good Faith Estimate Request Form
Good Faith Estimate and Disclaimer
Patients have the right to request information about the price of medical services pursuant to section 1718-C, subsection 1 or 2 in any written document provided to a patient prior to rendering health care treatment for the purpose of obtaining informed consent to the treatment.
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If your provider addresses additional items while at the visit, you could be charged more than the initial estimate.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
You may contact Katahdin Valley Health Center to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
If you are billed more than $400 above the amount on this Good Faith Estimate, you may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call DHHS Regional Office (207) 287-3707.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call DHHS Regional Office (207) 287-3707.
KVHC Sliding Fee Discount Program
You may be eligible for a discounted cost on the services we provide, even if you have insurance! The Sliding Fee Discount applies to all of our services including medical, dental, optometry and pharmaceutical.
For more information or to apply, please click here or call our Patient Assistance department at 1-866-366-5842 ext. 325.
