FAQ | Billing Guidelines

FAQ | Billing Guidelines

Nice Client Billing Guidelines

Nice Healthcare will be transitioning from billing our clients on a calendar quarter basis (at the beginning of the quarter) to billing all clients on a monthly basis at the beginning of the following month.  By way of example, the invoice for all employees eligible for the Nice services as of September (9/30), will be generated and sent within the first few days of October. 

All invoice amounts are calculated based on the PEPM (per employee per month) rate outlined in the Employer Agreement, multiplied by the number of eligible employees.  For example, an employer with 100 eligible employees as of 9/30 and a contracted PEPM Rate of $44 will receive an invoice for $4,400 within the first few business days of October.

It is the employer's responsibility to manage and ensure the accuracy of all active employees within the provided electronic platform, and a failure to do so may result in incorrect billing.

All clients with a launch date of 10/1/2022 and after will be billed monthly in arrears according to their contract.  All existing clients will be billed monthly in arrears upon renewal, or the signing of a new contract.

Invoices 

Nice Healthcare leverages the bill.com payment platform for all of our monthly invoicing.  All invoices will be emailed to the email address provided in the employer contract, and will contain a link to pay electronically via the bill.com network.  A PDF version of the invoice will also be attached.

Invoice due dates

All invoices are due and payable within 30 days of invoice date.

How to Pay + W9

Employers can pay invoices in any of the following ways: 1) pay via the bill.com payment platform (link included in invoice email), 2) employers may choose to sign up for automatic payments through the bill.com platform, or can contact billing@nice.healthcare to complete an authorization form, 3) pay directly to Nice Healthcare via the ACH instructions outlined on the invoice, 4) pay via paper check (note, additional fees will apply).

If you need a W9 to process the initial payment, please reach out to billing@nice.healthcare for a copy. 

Billing FAQ’s:

Q. Why is the Nice PEPM taxed in Minnesota?

A.  Minnesota taxes certain types of providers of healthcare goods - such as Nice Healthcare. That tax that’s collected goes toward paying for the MinnesotaCare program. If you wish to read more about it, check out this link.

Q: We are a non-profit organization, and therefore tax-exempt. Why is there a tax on my invoice and do I have to pay it?

A:  You’re seeing a tax if you’re a MN client. The tax is a 1.8% MN Care tax and tax-exempt organizations are not exempt from paying the tax. If you are a client in another area or have eligible employees outside of MN, you will not be charged the MN Care tax for those employees.

Q. I received my invoice, but there are no employees listed. Why is this?

A: Your eligibility list is managed in Hint. You may review your current list which will match what you are billed. If any changes are made to your eligibility list in Hint after you are billed, your next invoice will be reflective of the changes.

Q. I had an employee term mid-month. Will I be receiving a credit?

A: You will not be receiving a credit. You are encouraged to update your list as often as changes are needed and will be billed appropriately at the end of each month reflective of your eligibility list. If you have an employee term it is best to unenroll them in Hint so they do not show up on your next invoice.

Q. My eligibility list has been wrong the last few months. Can I get my invoices revised?

A: It is your responsibility to keep your list updated regularly for accurate billing. Invoices cannot be revised once they are finalized and sent.

Q. I have been billed an annual invoice in August 2022. I am moving to a new contract in January at a new higher rate. Will I be receiving a credit? Will I be invoiced again in January?

A: You may receive an invoice in January, however, your invoices will reflect credits for all amounts paid under a previous contract.

Q. I see an invoice in Hint where I manage my employee enrollment. Should I pay it?  

A: You may see an invoice in Hint. Please do not attempt to pay it. In fact, you may ignore the invoice section of Hint altogether. All invoices will be sent from bill.com. 
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