Billing and Insurance

We know that medical insurance and billing can be very confusing. Please feel free to talk with us before your visit.

Our business office will help you with billing and insurance, including:

  • Pre-certifications.
  • Out-of-pocket calculations.
  • Insurance issues.

Get Help With Billing and Insurance

Call 317.924.8636. Please have your current insurance card(s) available.

If you are a new patient, please fill out the New Patient Registration Form.

Office Visits and Hospital Charges

Shelbourne Knee Center is part of Community Health Network, a non-profit health system throughout Central Indiana. We are a hospital-based office operating through Community Hospital East.

Our orthopedic surgeons and Community Hospital East have separate contracts with insurance companies. This means the doctor may be covered in your network but the hospital may not be part of your network.

Office visit charges

Your office visit charge will be divided into:

  • “Facility” charge, billed from Community Health Network (outpatient services).
  • “Professional” charge from Shelbourne Knee Center (with the physicians’ business name).

Other charges will be billed from Community Health as hospital-based services. These charges include:

  • X-ray.
  • Physical therapy.
  • Injections.
  • Durable medical equipment (e.g., canes).

Hospital charges

Since our doctors and the hospital have separate contracts with insurance companies, you should find out if both our doctors and and the hospital are part of your network before your visit. This will help you avoid extra charges.

You can use these numbers to check on in- and out-of-network coverage:

  • Tax ID for the physicians: 61-1459229.
  • Tax ID for the hospital: 35-0983617.

We can also answer your questions about in- and out-of-network coverage.

Our Business Office Team

For help with billing and insurance, please call our business office: (317) 924-8636.

Billing and Insurance Staff

Cathy Grayson
(317) 957-9318

Billing issues, payment arrangements, and collections
Linda England
(317) 957-9319

Benefit verification and pre-certification
Lori Mangene
(317) 957-9328

Office and physical therapy patient out-of-pocket calculations
Tara Holly
(317) 957-9330

Surgery patient out-of-pocket calculations and surgery pre-certification
Stacey Tyler
(317) 957-9329

Business Office Administrator

Denise Bawel
(317) 957-9320