Frequently Asked Billing Questions (FAQ)

Mi hijo tiene un seguro médico. ¿Cuánto tengo que pagar?

Co-Insurance, Co-Payments and Deductibles are determined by your insurance plan, and we strongly encourage you to contact your plan directly to gain a full understanding of what you may owe.  Patient Account representatives will verify your insurance and are available to assist you in determining what your out of pocket expense may be.

How can I get financial assistance?

Please contact our physician billing team to inquire about payment plans at 1-844-769-7804 Monday through Friday, 8:00 a.m. to 6:00 p.m. EST. Monday thru Friday

OR

Please contact our hospital billing team to inquire about payment plans or other options at 1-617-355-3397 Monday through Friday, 7:00 a.m. to 5:00 p.m. EST. Monday thru Friday

Boston Children’s also provides information and assistance about Medical Hardship and Public Assistance programs. Please contact a patient financial counselor at 617-355-7201, Monday through Friday, 8:00 a.m. to 4:00 p.m. EST to discuss available options or schedule a financial counseling appointment.

¿Debo informarle a mi compañía aseguradora que mi hijo estará en el hospital?

It is always beneficial for you to contact your insurance before receiving medical services so you understand your benefits and coverage limitations.  A Patient Accounts Representative will verify your insurance, and attempt to secure authorizations and referrals where necessary.

¿Tengo que tener mi tarjeta del seguro o la tarjeta del seguro de mi hijo en el hospital o en la clínica?

Yes, it is very important that you bring your insurance card with you to ensure that we have accurate billing information to correctly file your claim. Le pedirán que presente su tarjeta cada vez que se registre.

¿Cómo sé si aceptan mi seguro?

We accept, and will bill most all insurance plans provided eligibility has been confirmed and/or verified, and that the services anticipated are in fact a covered benefit under your plan.  In some cases, where we are considered as an out-of-network provider, or in a tiered network, you may be subjected to an increased out of pocket expenses.  You should always verify your benefits and coverage limitations directly with your insurance beforehand.

How do I know if my child's visit will be covered by my insurance company?

Health benefit coverage varies with each insurance plan or employer group. Although a Patient Accounts Representative will verify your benefits, and seek referrals and authorization where necessary, we encourage you to refer to your subscriber handbook, or call your insurance directly with questions regarding coverage for specific services.

¿Puedo pagar la factura en línea?

Yes. You can pay your bill online here 

¿Cuándo pago mi copago, coseguro o deducible?

Your out of pocket responsibility is due when you register. If you are unsure of your financial liability, please refer to your insurance card, or contact your insurance directly. Once again, Patient Account Representatives are also available to assist you in determining your cost.

¿Cómo puedo pagar mi saldo?

We offer several payment options:

All major credit cards are accepted. You can also pay your bill by mail or by phone.

To determine which means is best for you, more information is available on the Pay your Bill page

¿Qué sucede si no puedo pagar la factura completa?

Please contact our physician billing team to inquire about payment plans at 1-844-769-7804 Monday through Friday, 8:00 a.m. to 6:00 p.m. EST. Monday thru Friday

OR

Please contact our hospital billing team to inquire about payment plans or other options at 1-617-355-3397 Monday through Friday, 7:00 a.m. to 5:00 p.m. EST. Monday thru Friday

Boston Children’s also provides information and assistance about Medical Hardship and Public Assistance programs. Please contact a patient financial counselor at 617-355-7201, Monday through Friday, 8:00 a.m. to 4:00 p.m. EST to discuss available options or schedule a financial counseling appointment.

I made a payment, but I received another billing statement. ¿Por qué?

El resumen puede haberse enviado antes de realizar su pago, o es posible que haya recibido la factura para otra fecha de servicio.  

Please contact our physician billing team at 1-844-769-7804 Monday through Friday, 8:00 a.m. to 6:00 p.m. EST. Monday thru Friday

OR

Please contact our hospital billing team at 1-617-355-3397 Monday through Friday, 7:00 a.m. to 5:00 p.m. EST. Monday thru Friday

Me contactó una agencia de cobranza. Why was this done and what should I do?

En general, antes de designar una cuenta a una agencia de cobranza, usted recibe un mínimo de tres resúmenes de facturación de Boston Children’s Hospital que le informan el saldo de su cuenta y sus responsabilidades. También es posible que reciba cartas o llamadas telefónicas del personal de la oficina de facturación.

Después de estos pasos, si no se realiza el pago o algún acuerdo satisfactorio para el pago, la cuenta se deriva a una agencia de cobranza.  You may resolve the account balance by contacting the agency directly, or if you are unable to do so, please contact the appropriate billing team to answer your questions
.

Will you bill the insurance company for my child's visit?

We will bill claims for services directly to your insurance, provided we have sufficient information to do so, and that your insurance has confirmed eligibility. It is very important that you provide us with all of the necessary information prior to your appointment or admission, if possible

Will you bill both my primary and secondary insurances?

We will bill all insurances directly.

¿Cuál es la diferencia entre los resúmenes de facturación del médico y del hospital?

For each admission or outpatient service, the Hospital will bill for Room & Board, and most ancillary services which includes, but is not limited to, operating and recovery room, Lab, X-rays and other diagnostic or therapeutic services.  Physicians will bill directly for their professional fees, which includes, but is not limited to, office consultations, test interpretations, and surgical fees.

What are the business office hours?

Please contact our physician billing team at 1-844-769-7804 Monday through Friday, 8:00 a.m. to 6:00 p.m. EST. Monday thru Friday

OR

Please contact our hospital billing team at 1-617-355-3397 Monday through Friday, 7:00 a.m. to 5:00 p.m. EST. Monday thru Friday

¿Recibiré un resumen detallado?

En su resumen inicial o factura se incluirán los cargos y pagos. If you require a detailed and itemized bill, you may obtain one by contacting either the Hospital Billing team or the Physician billing team.  

¿Quién es responsable de obtener una autorización o aprobación previa para un servicio en particular?

A Patient Accounts Representative will make every effort to obtain an authorization from your insurer when required. In some instances where your insurance has denied the authorization request or there are delays, you may be contacted and asked to contact your insurer directly to assist us or you may be responsible for payment.

How can I obtain an estimate for any future services?

To request and estimate, please fill our form located on our external web site. 

http://www.childrenshospital.org/patient-resources/financial-and-billing-matters/request-an-estimate

To assist families in obtaining we have a dedicated phone line:  1-857-218-3820