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Provider-Based Billing

Summary

Receiving care at Beartooth Billings Clinic’s “Provider-Based” clinic may result in the total charges for outpatient services and/or procedures provided in the clinic setting, being split into a facility charge as well as a professional or physician charge. These charges will be reflected on the Explanation of Benefits (EOB) you receive from Medicare/Medicaid for services provided. Depending on a patient’s specific insurance coverage, it is possible that some patients may pay more or less “out-of-pocket” for these services and procedures than they would at another location. Beartooth Billings Clinic is not unique in this regard as this is the billing practice in many integrated health care systems across the country which combines hospital services with physician clinics.

Patients are advised to review their insurance benefits or contact their insurance provider to determine what their policy will cover and identify any out-of-pocket expenses. For more information please contact our Patient Financial Representatives at 406-446-2345 if you have further questions regarding “Provider-Based” or “Hospital-Based Outpatient” billing.