SURPRISE BILLING AND BALANCE BILLING PROTECTIONS
At Psychiatric Wellness Center, we understand that healthcare billing can be confusing. Please be aware every provider you see, including mental health providers (therapists and nurse practitioners) must provide an estimate of services rendered.
What do the terms Balance Billing and Surprise Billing mean?
Surprise Billing occurs when a patient receives a larger-than-expected medical bill due to their health care provider being out-of-network. It typically occurs in the following scenarios:
Emergency care situations, when patients may not be able to choose health care providers who are covered by their insurance.
An out-of-network provider renders service to a patient at an in-network hospital.
Balance Billing happens when an out-of-network provider holds a patient responsible for the difference between their gross charge and the insurer’s allowed amount.
It’s important to understand your rights and protections against surprise medical bills. Below are some links for more information:
Your Rights and Protections Against Your Rights and Protections Against Surprise Medical Bills
Massachusetts Notice to Patients
Participating Psychiatric Wellness Center Plans and Private Pay Rates
Should you have any questions regarding billing or insurance, please contact our Billing Department at billing@psychiatricwellnesscenter.org or 603.714.9646 ex 4 and we will be happy to assist you.