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