About Provider Based Billing

About Provider Based Billing

What is Provider Based Billing (PBB)?

PBB refers to the billing process for services rendered in a hospital department or location. This is the national model of practice for large, integrated delivery systems where the hospital owns space and employs support personnel involved in patient care.


Will there be a change in how patients receive care?

No. Patients will continue to receive excellent quality care with their physician and scheduling appointments and tests will be handled as they always have been in the past. However, there is a change in how the hospital will bill your insurance carrier for these services.


Does this mean patients will pay more for services?

Depending on their particular insurance coverage, it is possible benefits may differ for certain outpatient services and procedures at provider-based/hospital outpatient locations.  We recommend patients review their insurance benefits or contact their insurance provider to determine what their policy will pay and what out-of-pocket expenses they may incur based on the location of the services provided.


Does this affect patient co-pays or deductibles?

Depending on each patient's specific insurance benefits, deductible, co-insurance and copayments may be applied for provider-based services.


What can patients do if they are having difficulty paying for healthcare services?

Little Company of Mary offers charity policies to help qualifying patients.  Detailed information is available by calling our Financial Counseling Office at 708-229-6152 or 708-229-6153.



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