108 CMR, § 10.12 - Hospital Billing with Insurance
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INPATIENT HOSPITAL BILLING |
OUTPATIENT HOSPITAL BILLING |
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If applicant eligible, bill must show: |
If applicant eligible, bill must show: |
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Total amount of charges X percentage |
Total amount of charges X percentage |
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of charges |
of charges |
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Total public assistance bill minus |
Total public assistance bill minus |
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insurance payment insurance payment |
|
|
Balance - paid by DVS |
Balance - paid by DVS |
Notes
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