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Physician Office and Outpatient Billing | Mass General Brigham
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<span>Medical Education</span> </a> </li> </ul> </li> <li> <ul class="cmp-global-header-main-nav-expanded-children-wrapper"> <li class="cmp-global-header-main-nav-expanded-childHeader"> For trainees </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/prospective" target="_self"> <span>Prospective trainees</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/incoming" target="_self"> <span>Incoming trainees</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-subChildren"> <a href="/en/education-and-training/graduate-medical-education/for-trainees/current" target="_self"> <span>Current trainees</span> </a> </li> </ul> </li> </ul> </div> </li> <li> <a class="cmp-global-header-main-nav-item no-children mainNavigation-inactive internal" 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target="_self">Overview</a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> Services & Specialties </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/cancer" target="_self" class="internal"> <span>We’re One Against Cancer</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/primary-care" target="_self" class="internal"> <span>Primary Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/urgent-care" target="_self" class="internal"> <span>Urgent Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/virtual-care" target="_self" class="internal"> <span>Virtual Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/healthcare-at-home" target="_self" class="internal"> <span>Healthcare at Home</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/heart" target="_self" class="internal"> <span>Heart Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/community-physicians" target="_self" class="internal"> <span>Mass General Brigham Community Physicians</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/rehabilitation" target="_self" class="internal"> <span>Rehabilitation</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/sports-medicine" target="_self" class="internal"> <span>Sports Medicine</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> Hospitals </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/locations.location=Hospital" target="_self" class="internal"> <span>Hospital Locations</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/services-and-specialties/find-a-location/our-hospitals" target="_self" class="internal"> <span>Information About Our Hospitals</span> </a> </li> </ul> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper"> <button type="button" aria-expanded="false" aria-controls="virtualcare-submenu" class="cmp-global-mobile-nav-toggle-btn cmp-global-header-mobile-main-nav-item-header-wrapper"> <span class="cmp-global-header-mobile-main-nav-item"> Virtual Care </span> <span class="cmp-global-header-mobile-main-nav-expand-icon"></span> <span class="cmp-global-header-mobile-main-nav-collapse-icon" style="display: none"></span> </button> <ul id="virtualcare-submenu" class="cmp-global-header-mobile-main-nav-children-wrapper" style="display: none"> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a id="virtualcare-overview" href="/en/patient-care/virtual-care" target="_self">Overview</a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> Our Virtual Care Options </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/virtual-care/virtual-urgent-care" target="_self" class="internal"> <span>Virtual Urgent Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/virtual-care/virtual-visits" target="_self" class="internal"> <span>Virtual Visits for Primary & Specialty Care</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/patient-care/virtual-care/online-second-opinions" target="_self" class="internal"> <span>Online Second Opinions</span> </a> </li> </ul> </li> </ul> </div> </li> <li class="cmp-global-header-mobile-section-nav-header"> <button type="button" aria-expanded="false" class="cmp-global-mobile-nav-toggle-btn cmp-global-header-mobile-section-nav-header-button" aria-controls="researchinnovation-menu"> <span class="cmp-global-header-mobile-section-nav-item"> Research & Innovation </span> <span class="cmp-global-header-mobile-section-nav-expand-icon"></span> <span class="cmp-global-header-mobile-section-nav-collapse-icon" style="display: none"></span> </button> <div class="cmp-global-header-mobile-main-nav-wrapper" style="display: none" id="researchinnovation-menu"> <ul class="cmp-global-header-mobile-main-nav-list-wrapper"> <li class="cmp-global-header-main-nav-expanded-sectionlink"> <a href="/en/research-and-innovation" id="researchinnovation-overview" aria-labelledby="researchinnovation-menu-trigger researchinnovation-overview">Overview</a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/participate-in-research" class="internal"> <span>Participate in Research</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper"> <button type="button" aria-expanded="false" aria-controls="centersprograms-submenu" class="cmp-global-mobile-nav-toggle-btn cmp-global-header-mobile-main-nav-item-header-wrapper"> <span class="cmp-global-header-mobile-main-nav-item"> Centers & Programs </span> <span class="cmp-global-header-mobile-main-nav-expand-icon"></span> <span class="cmp-global-header-mobile-main-nav-collapse-icon" style="display: none"></span> </button> <ul id="centersprograms-submenu" class="cmp-global-header-mobile-main-nav-children-wrapper" style="display: none"> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a id="centersprograms-overview" href="/en/research-and-innovation/centers-and-programs" target="_self">Overview</a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/centers-and-programs/hospital-research-institutes" target="_self" class="internal"> <span>Hospital Research Institutes</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/centers-and-programs/artificial-intelligence" target="_self" class="internal"> <span>Artificial Intelligence</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/centers-and-programs/gene-cell-therapy" target="_self" class="internal"> <span>Gene and Cell Therapy Institute</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/centers-and-programs/personalized-medicine" target="_self" class="internal"> <span>Personalized Medicine</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/centers-and-programs/population-health" target="_self" class="internal"> <span>Population Health</span> </a> </li> </ul> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper"> <button type="button" aria-expanded="false" aria-controls="innovation-submenu" class="cmp-global-mobile-nav-toggle-btn cmp-global-header-mobile-main-nav-item-header-wrapper"> <span class="cmp-global-header-mobile-main-nav-item"> Innovation </span> <span class="cmp-global-header-mobile-main-nav-expand-icon"></span> <span class="cmp-global-header-mobile-main-nav-collapse-icon" style="display: none"></span> </button> <ul id="innovation-submenu" class="cmp-global-header-mobile-main-nav-children-wrapper" style="display: none"> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a id="innovation-overview" href="/en/research-and-innovation/innovation" target="_self">Overview</a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> About Innovation </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/about" target="_self" class="internal"> <span>About</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/about/team" target="_self" class="internal"> <span>Team</span> </a> </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a href="/en/research-and-innovation/innovation/news" target="_self" class="internal"> <span>News</span> </a> </li> <li class="cmp-global-header-main-nav-expanded-childHeader"> For Industry </li> <li class="cmp-global-header-mobile-main-nav-item-wrapper-main-nav-link"> <a 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class="cmp-nav-item-utility-link-wrap-mobile sectionItem-2"> <a class="cmp-nav-item-utility-link" href="/en/about/giving" target="_self"> Giving to Mass General Brigham </a> </div> <div class="cmp-nav-item-utility-link-wrap-mobile sectionItem-3"> <a class="cmp-nav-item-utility-link" href="/en/about/giving" target="_self"> Giving to Mass General Brigham </a> </div> <!-- End example code --> <nav class="cmp-global-header-mobile-utility-nav" role="navigation" aria-label="Utility"> <span class="sr-only" id="global-main-nav-mobile-label">Main Navigation Links</span> <div class="cmp-global-header-mobile-utility-top-links-container"> <ul class="cmp-global-header-mobile-utility-links-wrapper"> <li> <a href="/en/patient-care/patient-visitor-information/appointments" class="cmp-global-header-mobile-utility-links-button " target="_self"> Request an appointment </a> </li> <li> <a href="https://patientgateway.massgeneralbrigham.org/" class="cmp-global-header-mobile-utility-links-button 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data-cmp-data-layer="{"breadcrumb-d524f437d0":{"@type":"aem-mgb/components/breadcrumb","repo:modifyDate":"2022-09-06T10:06:49Z"}}" role="navigation"> <ol class="cmp-breadcrumb__list" itemscope itemtype="http://schema.org/BreadcrumbList"> <li class="cmp-breadcrumb__item" data-cmp-data-layer="{"breadcrumb-d524f437d0-item-fba7cee089":{"@type":"aem-mgb/components/breadcrumb/item","repo:modifyDate":"2022-09-07T21:28:23Z","dc:title":"Patient Care","xdm:linkURL":"/en/patient-care"}}" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" data-cmp-clickable href="/en/patient-care"> <span itemprop="name">Patient Care</span> </a> <meta itemprop="position" content="1"/> </li> <li class="cmp-breadcrumb__item" data-cmp-data-layer="{"breadcrumb-d524f437d0-item-23764cb90a":{"@type":"aem-mgb/components/breadcrumb/item","repo:modifyDate":"2022-09-07T21:28:51Z","dc:title":"Patient and Visitor Information","xdm:linkURL":"/en/patient-care/patient-visitor-information"}}" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" data-cmp-clickable href="/en/patient-care/patient-visitor-information"> <span itemprop="name">Patient and Visitor Information</span> </a> <meta itemprop="position" content="2"/> </li> <li class="cmp-breadcrumb__item" data-cmp-data-layer="{"breadcrumb-d524f437d0-item-ae74b15c6d":{"@type":"aem-mgb/components/breadcrumb/item","repo:modifyDate":"2022-09-07T21:28:53Z","dc:title":"Billing","xdm:linkURL":"/en/patient-care/patient-visitor-information/billing"}}" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" data-cmp-clickable href="/en/patient-care/patient-visitor-information/billing"> <span itemprop="name">Billing</span> </a> <meta itemprop="position" content="3"/> </li> <li class="cmp-breadcrumb__item cmp-breadcrumb__item--active" aria-current="page" data-cmp-data-layer="{"breadcrumb-d524f437d0-item-dd31454305":{"@type":"aem-mgb/components/breadcrumb/item","repo:modifyDate":"2022-09-07T21:28:53Z","dc:title":"Physician Office and Outpatient Billing","xdm:linkURL":"/en/patient-care/patient-visitor-information/billing/physician-office-and-outpatient-billing"}}" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <span itemprop="name">Physician Office and Outpatient Billing</span> <meta itemprop="position" content="4"/> </li> </ol> </nav> </div> <div class="alert cmp-alert cmp-alert-page aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-alert-main-container"> <div class="cmp-alert-container hidden" role="alert" tabindex="-1"> <div class="cmp-alert-content"> <div class="cmp-alert-icon-container"></div> <div class="cmp-alert-content-container"> <div class="cmp-alert-closed"> <h2 class="cmp-alert-primary-title"></h2> <div class="cmp-alert-body-toggle-icon-container"> <button class="cmp-alert-body-toggle-icon cmp-alert-body-toggle-icon-expand hidden" type="button" aria-expanded="false"><span class="sr-only">More alert details</span></button> </div> </div> <div> <div class="cmp-alert-body alert-hidden"> <div class="cmp-alert-body-content"> <div class="cmp-alert-body-title"></div> <div class="cmp-alert-body-details-container"></div> </div> <div class="cmp-alert-body-button-container"> <div class="global-button button cmp-injectedComponent"> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-dynamic-alert-container" data-service-url="/content/mgb-global/global/en/patient-care/patient-visitor-information/billing/physician-office-and-outpatient-billing.dynamic-alerts.json"></div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-15c05530b3" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="hero-banner global-extended-teaser teaser cmp-hero-banner cmp-basic-hero-no-image-no-teal-border aem-GridColumn aem-GridColumn--default--12"> <div id="teaser-6ab5ff4755" class="cmp-teaser " data-cmp-data-layer="{"teaser-6ab5ff4755":{"@type":"core/wcm/components/teaser/v2/teaser","repo:modifyDate":"2022-09-06T10:06:49Z","dc:title":"Physician Office and Hospital Outpatient Billing","dc:description":"<p>Get answers to common questions about billing for different care settings.</p>\r\n"}}" role="region" aria-label="Featured Content"> <div class="cmp-teaser__content" data-teaser-id="teaser-6ab5ff4755"> <div class="cmp-hero-banner-text-animation-wrapper"> <div class="cmp-hero-banner-text-animation-content"> <h1 class="cmp-teaser__title"> Physician Office and Hospital Outpatient Billing </h1> <div class="cmp-teaser__description"><p>Get answers to common questions about billing for different care settings.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="experiencefragment aem-GridColumn aem-GridColumn--default--12"> <div id="experiencefragment-3ecdab574c" class="cmp-experiencefragment cmp-experiencefragment--billing-tertiary-nav"> <div id="container-d008ae8082" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="tertiary-nav aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-tertiary-nav"> <nav class="cmp-tertiary-nav-content" role="navigation" aria-labelledby="cmp-tertiary-nav-title-label"> <span class="cmp-tertiary-nav-title" id="cmp-tertiary-nav-title-label" aria-hidden="true"> <a href="/en/patient-care/patient-visitor-information/billing" target="_self">Billing</a> </span> <button type="button" class="cmp-tertiary-nav-item-header-button cmp-tertiary-nav-menu-toggle" aria-expanded="false" aria-controls="cmp-tertiary-nav-menu"> Billing </button> <ul class="cmp-tertiary-nav-menu closed" id="cmp-tertiary-nav-menu"> <li class="cmp-tertiary-nav-item cmp-tertiary-nav-title-overview"> <a href="/en/patient-care/patient-visitor-information/billing" target="_self" class="cmp-tertiary-nav-item-header"> <span>Overview</span> </a> </li> <li class="cmp-tertiary-nav-item"> <button aria-expanded="false" type="button" id="faqs-menu-trigger" class="cmp-tertiary-nav-item-header-button cmp-tertiary-nav-subnav-button " aria-controls="id_faqs"> <span>FAQs</span> </button> <ul id="id_faqs" aria-labelledby="faqs-menu-trigger" class="cmp-tertiary-nav-subnav closed"> <li class="cmp-tertiary-nav-subnav-item"> <a id="faqs-overview" class="internal" aria-labelledby="faqs-menu-trigger faqs-overview" target="_self" href="/en/patient-care/patient-visitor-information/billing/questions-about-a-bill"> Overview </a> </li> <li class="cmp-tertiary-nav-subnav-item"> <a href="/en/patient-care/patient-visitor-information/billing/physician-office-and-outpatient-billing" target="_self" class="internal"> Physician office & hospital outpatient billing </a> </li> <li class="cmp-tertiary-nav-subnav-item"> <a href="/en/patient-care/patient-visitor-information/billing/preventive-health" target="_self" class="internal"> Preventive health billing </a> </li> <li class="cmp-tertiary-nav-subnav-item"> <a href="/en/patient-care/patient-visitor-information/billing/urgent-care" target="_self" class="internal"> Urgent care/walk-in billing </a> </li> </ul> </li> <li class="cmp-tertiary-nav-item"> <a href="/en/patient-care/patient-visitor-information/billing/insurance" target="_self" class=" cmp-tertiary-nav-item-header internal"> <span>Insurance</span> </a> </li> <li class="cmp-tertiary-nav-item"> <a href="/en/patient-care/patient-visitor-information/billing/request-cost-estimate" target="_self" class=" cmp-tertiary-nav-item-header internal"> <span>Request a cost estimate</span> </a> </li> <li class="cmp-tertiary-nav-item"> <a href="/en/patient-care/patient-visitor-information/billing/cms-required-hospital-charge-data" target="_self" class=" cmp-tertiary-nav-item-header internal"> <span>CMS-required hospital charge data</span> </a> </li> <li class="cmp-tertiary-nav-item"> <a href="/en/patient-care/patient-visitor-information/billing/protections-against-surprise-bills" target="_self" class=" cmp-tertiary-nav-item-header internal"> <span>Protections against surprise billing</span> </a> </li> </ul> </nav> </div> <div class="cmp-global-sticky-spacer"></div> </div> </div> </div> </div> </div> <div class="container responsivegrid cmp-container-1440-gutters aem-GridColumn aem-GridColumn--default--12"> <div id="container-65b9429c2e" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-79115fb97b":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:48Z","xdm:text":"<h2>Physician office billing</h2>\r\n<p>When your visit takes place in a physician office, you will usually be charged only for the physician’s examination, and your co-payment will usually be your only out-of-pocket cost.</p>\r\n<p>We will request your co-payment when you check in for a visit.</p>\r\n"}}" id="text-79115fb97b" class="cmp-text"> <h2>Physician office billing</h2> <p>When your visit takes place in a physician office, you will usually be charged only for the physician’s examination, and your co-payment will usually be your only out-of-pocket cost.</p> <p>We will request your co-payment when you check in for a visit.</p> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-e3278fcf17":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:48Z","xdm:text":"<h2>Hospital outpatient billing</h2>\r\n<p>When your visit takes place in a hospital outpatient location, there will typically be two charges, which may result in you paying more for your visit than if you are seen in a physician office. Your out-of-pocket costs could include the following:</p>\r\n<ul>\r\n<li>You will be charged for the physician’s examination, which will usually be covered by your co-payment.<br>\r\n<br>\r\n</li>\r\n<li style=\"text-align: left;\">You will also be charged by the hospital for use of hospital space, equipment, and support staff. <b>This is commonly known as a “Facility Fee.”</b> Your health plan may apply these hospital charges to your annual deductible, and after using up your deductible, you may be responsible for a co-insurance payment.</li>\r\n</ul>\r\n<p>You may receive a bill that combines the charges from the hospital and the physician on one line, or these charges may be split into two lines, depending on the location.</p>\r\n<p>We will request your co-payment when you check in for your visit, and we will send you a bill for any unpaid balances after we receive payment from your insurance company.</p>\r\n"}}" id="text-e3278fcf17" class="cmp-text"> <h2>Hospital outpatient billing</h2> <p>When your visit takes place in a hospital outpatient location, there will typically be two charges, which may result in you paying more for your visit than if you are seen in a physician office. Your out-of-pocket costs could include the following:</p> <ul> <li>You will be charged for the physician’s examination, which will usually be covered by your co-payment.<br> <br> </li> <li style="text-align: left;">You will also be charged by the hospital for use of hospital space, equipment, and support staff. <b>This is commonly known as a “Facility Fee.”</b> Your health plan may apply these hospital charges to your annual deductible, and after using up your deductible, you may be responsible for a co-insurance payment.</li> </ul> <p>You may receive a bill that combines the charges from the hospital and the physician on one line, or these charges may be split into two lines, depending on the location.</p> <p>We will request your co-payment when you check in for your visit, and we will send you a bill for any unpaid balances after we receive payment from your insurance company.</p> </div> </div> <div class="title aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"title-8fad09f84e":{"@type":"aem-mgb/components/title","repo:modifyDate":"2022-09-06T10:06:48Z","dc:title":"Related billing information"}}" id="title-8fad09f84e" class="cmp-title"> <h2 class="cmp-title__text">Related billing information</h2> </div> </div> <div class="accordion panelcontainer aem-GridColumn aem-GridColumn--default--12"> <div id="accordion-1bc2da3ee1" class="cmp-accordion" data-cmp-is="accordion" data-cmp-data-layer="{"accordion-1bc2da3ee1":{"shownItems":[],"@type":"core/wcm/components/accordion/v1/accordion","repo:modifyDate":"2022-09-06T10:06:48Z"}}" data-placeholder-text="false"> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-7bcd423a10":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2022-09-06T10:06:48Z","dc:title":"Understanding whether my visit is a physician office visit or a hospital outpatient visit"}}" id="accordion-1bc2da3ee1-item-7bcd423a10"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-7bcd423a10-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-7bcd423a10-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Understanding whether my visit is a physician office visit or a hospital outpatient visit</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-7bcd423a10-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-7bcd423a10-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-7bcd423a10" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-bf5301d3bc":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:48Z","xdm:text":"<p>You can find information about whether your visit is a physician office or hospital outpatient visit in notices in our waiting rooms, on the websites of our hospitals and physician groups, and in electronic appointment reminders for your scheduled visits.</p>\r\n"}}" id="text-bf5301d3bc" class="cmp-text"> <p>You can find information about whether your visit is a physician office or hospital outpatient visit in notices in our waiting rooms, on the websites of our hospitals and physician groups, and in electronic appointment reminders for your scheduled visits.</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-5629573b18":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2022-09-06T10:06:48Z","dc:title":"Referral and prior authorization"}}" id="accordion-1bc2da3ee1-item-5629573b18"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-5629573b18-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-5629573b18-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Referral and prior authorization</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-5629573b18-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-5629573b18-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-5629573b18" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-845cd55224":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:48Z","xdm:text":"<p>For both physician office and hospital outpatient visits, your health insurer may require you to get a referral or authorization. In addition, our providers may be considered “In Network” or “Out of Network,” depending on the specifics of your health insurance plan, which could affect the amount you pay.</p>\r\n"}}" id="text-845cd55224" class="cmp-text"> <p>For both physician office and hospital outpatient visits, your health insurer may require you to get a referral or authorization. In addition, our providers may be considered “In Network” or “Out of Network,” depending on the specifics of your health insurance plan, which could affect the amount you pay.</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-ddd6d9899b":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2022-09-06T10:06:48Z","dc:title":"Billing for procedures performed during the visit"}}" id="accordion-1bc2da3ee1-item-ddd6d9899b"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-ddd6d9899b-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-ddd6d9899b-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Billing for procedures performed during the visit</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-ddd6d9899b-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-ddd6d9899b-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-ddd6d9899b" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-1c8f4c3368":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:48Z","xdm:text":"<p>No matter the location, if a procedure is performed during the visit, you may have further out-of-pocket costs for additional physicians’ services and for use of the hospital facilities and staff, even if the procedure was performed in the same exam room as the visit with the physician. Your health plan may apply these additional physician and hospital charges to your annual deductible, and after using up your deductible, you may be responsible for an additional co-insurance payment.</p>\r\n"}}" id="text-1c8f4c3368" class="cmp-text"> <p>No matter the location, if a procedure is performed during the visit, you may have further out-of-pocket costs for additional physicians’ services and for use of the hospital facilities and staff, even if the procedure was performed in the same exam room as the visit with the physician. Your health plan may apply these additional physician and hospital charges to your annual deductible, and after using up your deductible, you may be responsible for an additional co-insurance payment.</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-f055a794ee":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2022-09-06T10:06:48Z","dc:title":"Laboratory and imaging services"}}" id="accordion-1bc2da3ee1-item-f055a794ee"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-f055a794ee-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-f055a794ee-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Laboratory and imaging services</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-f055a794ee-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-f055a794ee-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-f055a794ee" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-f3ceee77d0":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:49Z","xdm:text":"<p>If your physician ordered laboratory tests or imaging services (such as X-ray, CT or MRI), you may be billed for these tests by the hospital, clinical laboratory, or imaging center, and you may also be billed for the services of the physicians (usually pathologists and radiologists) who interpreted the test results.</p>\r\n"}}" id="text-f3ceee77d0" class="cmp-text"> <p>If your physician ordered laboratory tests or imaging services (such as X-ray, CT or MRI), you may be billed for these tests by the hospital, clinical laboratory, or imaging center, and you may also be billed for the services of the physicians (usually pathologists and radiologists) who interpreted the test results.</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-c129a33724":{"@type":"aem-mgb/components/accordion/item","repo:modifyDate":"2022-09-06T10:06:49Z","dc:title":"Understanding how much my visit will cost"}}" id="accordion-1bc2da3ee1-item-c129a33724"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-c129a33724-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-c129a33724-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Understanding how much my visit will cost</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-c129a33724-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-c129a33724-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-c129a33724" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-ee58b30fd8":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:49Z","xdm:text":"<p>It is your right to receive an <a href=\"/content/mgb-global/global/en/patient-care/patient-visitor-information/billing/request-cost-estimate.html\">estimate of the cost of your visit</a> in advance of the visit. Please contact Patient Billing Solutions at least two business days prior to your visit to get an estimate. Please have as many details as possible about the upcoming visit, including the provider name, location, and details of the planned service or procedure.</p>\r\n<p><b>Patient Billing Solutions</b></p>\r\n<p><b>Phone</b><br>\r\n617-726-3884<br>\r\nMonday - Friday: 9:00 a.m. – 4:30 p.m. ET</p>\r\n<p><b>Email</b><br>\r\n<a href=\"mailto:patientbilling@partners.org\">patientbilling@partners.org</a> for general questions only; a representative will respond generally within three business days.<br>\r\n(Please use <a href=\"http://www.patientgateway.org\">www.patientgateway.org</a> to view details of your account, send messages with confidential information, or pay your bills.)</p>\r\n<p><b>Mailing address <br>\r\n </b><i>Correspondence only (no checks)</i><br>\r\nMass General Brigham<br>\r\nPatient Billing Solutions<br>\r\n399 Revolution Drive, Suite 410<br>\r\nSomerville, MA 02145-1462</p>\r\n"}}" id="text-ee58b30fd8" class="cmp-text"> <p>It is your right to receive an <a href="/en/patient-care/patient-visitor-information/billing/request-cost-estimate">estimate of the cost of your visit</a> in advance of the visit. Please contact Patient Billing Solutions at least two business days prior to your visit to get an estimate. Please have as many details as possible about the upcoming visit, including the provider name, location, and details of the planned service or procedure.</p> <p><b>Patient Billing Solutions</b></p> <p><b>Phone</b><br> 617-726-3884<br> Monday - Friday: 9:00 a.m. – 4:30 p.m. ET</p> <p><b>Email</b><br> <a href="mailto:patientbilling@partners.org">patientbilling@partners.org</a> for general questions only; a representative will respond generally within three business days.<br> (Please use <a href="http://www.patientgateway.org">www.patientgateway.org</a> to view details of your account, send messages with confidential information, or pay your bills.)</p> <p><b>Mailing address <br> </b><i>Correspondence only (no checks)</i><br> Mass General Brigham<br> Patient Billing Solutions<br> 399 Revolution Drive, Suite 410<br> Somerville, MA 02145-1462</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-73162b8a31":{"@type":"aem-mgb/components/accordion/item","dc:title":"Special notice for Medicare patients"}}" id="accordion-1bc2da3ee1-item-73162b8a31"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-73162b8a31-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-73162b8a31-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">Special notice for Medicare patients</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-73162b8a31-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-73162b8a31-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-73162b8a31" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-62531ea7e9":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:49Z","xdm:text":"<p>If you are a Medicare beneficiary and your visit takes place in a hospital outpatient location, you will be responsible for a Medicare Part B out-of-pocket co-insurance payment of approximately $25 for the hospital facility charge. Procedure charges or other testing could increase your out-of-pocket expense.</p>\r\n"}}" id="text-62531ea7e9" class="cmp-text"> <p>If you are a Medicare beneficiary and your visit takes place in a hospital outpatient location, you will be responsible for a Medicare Part B out-of-pocket co-insurance payment of approximately $25 for the hospital facility charge. Procedure charges or other testing could increase your out-of-pocket expense.</p> </div> </div> </div> </div> </div> </div> </div> <div class="cmp-accordion__item" data-cmp-hook-accordion="item" data-cmp-data-layer="{"accordion-1bc2da3ee1-item-806521b3ff":{"@type":"aem-mgb/components/accordion/item","dc:title":"More information"}}" id="accordion-1bc2da3ee1-item-806521b3ff"> <h3 class="cmp-accordion__header"> <button id="accordion-1bc2da3ee1-item-806521b3ff-button" class="cmp-accordion__button" aria-controls="accordion-1bc2da3ee1-item-806521b3ff-panel" data-cmp-hook-accordion="button"> <span class="cmp-accordion__title">More information</span> <span class="cmp-accordion__icon"></span> </button> </h3> <div data-cmp-hook-accordion="panel" id="accordion-1bc2da3ee1-item-806521b3ff-panel" class="cmp-accordion__panel cmp-accordion__panel--hidden" role="region" aria-labelledby="accordion-1bc2da3ee1-item-806521b3ff-button"><div class="container responsivegrid cmp-container-1440-no-gutters"> <div id="container-806521b3ff" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"> <div data-cmp-data-layer="{"text-4304a3eba8":{"@type":"aem-mgb/components/text","repo:modifyDate":"2022-09-06T10:06:49Z","xdm:text":"<p>Please contact the Member Services department of your health insurance plan to verify your coverage and financial responsibility for services described on this page. This phone number is usually located on your insurance card. </p>\r\n<p><i>Updated April 2019</i></p>\r\n"}}" id="text-4304a3eba8" class="cmp-text"> <p>Please contact the Member Services department of your health insurance plan to verify your coverage and financial responsibility for services described on this page. This phone number is usually located on your insurance card. </p> <p><i>Updated April 2019</i></p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"> <div id="container-b3813bfe1e" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> </div> </div> </div> <footer class="experiencefragment aem-GridColumn aem-GridColumn--default--12"> <div id="experiencefragment-0bcc9d89fb" class="cmp-experiencefragment cmp-experiencefragment--footer"> <div id="container-4f87aec969" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container responsivegrid cmp-global-footer aem-GridColumn aem-GridColumn--default--12"> <div id="container-357ab697ae" class="cmp-container"> <div class="container responsivegrid"> <div id="container-0b91f6a4aa" class="cmp-container"> </div> </div> <div class="container responsivegrid 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data-cmp-data-layer="{"button-3685a29a13":{"@type":"aem-mgb/components/button","repo:modifyDate":"2024-03-01T00:11:56Z","dc:title":"For Medical Professionals","xdm:linkURL":"/en/medical-professionals"}}" href="/en/medical-professionals"> <span class="cmp-button__text">For Medical Professionals</span> </a> </div> <div class="button"> <a id="button-3782998f23" class="cmp-button" data-cmp-clickable data-cmp-data-layer="{"button-3782998f23":{"@type":"aem-mgb/components/button","repo:modifyDate":"2024-03-01T00:11:56Z","dc:title":"For Employees","xdm:linkURL":"/en/about/for-employees"}}" href="/en/about/for-employees"> <span class="cmp-button__text">For Employees</span> </a> </div> </div> </div> <div class="container responsivegrid cmp-global-footer-button-links aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--3 aem-GridColumn--offset--default--0"> <div id="container-c57bc03278" class="cmp-container"> <div class="button"> <a id="button-97ec21bab5" class="cmp-button" data-cmp-clickable data-cmp-data-layer="{"button-97ec21bab5":{"@type":"aem-mgb/components/button","repo:modifyDate":"2024-03-01T00:11:56Z","dc:title":"Log in to Patient Gateway","xdm:linkURL":"https://patientgateway.massgeneralbrigham.org/"}}" href="https://patientgateway.massgeneralbrigham.org/" target="_blank"> <span class="cmp-button__text">Log in to Patient Gateway</span> </a> </div> <div class="button"> <a id="button-efa438776a" class="cmp-button" data-cmp-clickable data-cmp-data-layer="{"button-efa438776a":{"@type":"aem-mgb/components/button","repo:modifyDate":"2024-03-01T00:11:56Z","dc:title":"Find a Doctor","xdm:linkURL":"https://doctors.massgeneralbrigham.org/search"}}" href="https://doctors.massgeneralbrigham.org/search"> <span class="cmp-button__text">Find a Doctor</span> </a> </div> <div class="button"> <a id="button-773b4ca207" class="cmp-button" data-cmp-clickable 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