Billing

The Billing Department handles claims from inside the clinic, any claims from outside of the clinic are handled thru the Contract Health Department.

Insurance Questionnaires: If you receive a questionnaire in the mail from your insurance company please complete and return back to your insurance company so your claims can be processed.

AFLAC: Requests for Date of Service Information for AFLAC are processed on Thursdays.  An ALFAC release is needed with the Patient Date of Birth and Date of Service. Pick up AFLAC at the Cashier Window. **If patient is 18 years of age or older, they must sign and pick up their own paperwork. This is a HIPPA requirement for release of patient information.** To request AFLAC please call 715-799-5484.

New Medical Assistance Non Native Patients: Per MTC Policy, we are currently not accepting any new non native medical assistance patients in our Dental or Optical Departments. Definition of new patient: If you have not been seen at the Menominee Tribal Clinic within the last 3 Years, you are considered a new patient.

Methods of payment include: Cash, local checks, Visa, MasterCard and Wage Assignments (with employment within the Menominee Tribe).

COVID TESTING

Menominee Tribal Clinic Coronavirus Cost for COVID-19 Diagnostic Test Cash Price – $140.00 (amount that MAY apply to a self-pay individual paying out of pocket who is a patient of the Clinic)

Billing Department Staff

Gavin Braun, Billing Specialist
Phone: 715-799-5487 ~ Email: gavinb@mtclinic.net

Leslie Kaquatosh, Billing Specialist
Phone: 715-799-5483 ~ Email: lesliek@mtclinic.net

Jacqueline Braun, Billing Specialist
Phone: 715-799-5486 ~ Email: jacquelineb@mtclinic.net

Jasmine Galleske, Billing Specialist
Phone: 715-799-6485 ~ Email: jasmineg@mtclinic.net

Billing and Insurance
Frequently Asked Questions