Surprise Billing and Balance Billing Protections

At Orthopaedic Associates of Marlborough, we understand that healthcare billing can be confusing, and we are here to help.

 

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 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 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 to more information:

Should you have any questions regarding billing or insurance, please contact our Office Manager
Monday-Thursday 9 am – 4:30 pm at 508-485-3665 and we will be happy to assist you.

GENERAL INQUIRIES

  • Contact: contactus@orthomarlborough.com
    Billing: billingdept@orthomarlborough.com

Our online bill pay service lets you conveniently pay your bill anytime, anywhere.

ONLINE BILL PAY
  • Marlborough Location
    Marlborough Medical Building

    65 Fremont Street | Marlborough, MA 01752
    Telephone: 508-485-3665 | Fax: 508-485-0899

  • Northborough Location
    Carewell Urgent Care Building

    333 Southwest Cutoff | Northborough, MA 01532
    Telephone: 774-570-5000
    Appointments call UMASS scheduling: 508-334-0600.

  • Westborough Location
    UMass Memorial Orthopedics

    154 East Main Street | Westborough, MA 01581
    Telephone: 508-871-2389
    Appointments call UMASS scheduling: 508-334-0600.

  • Clinton Location
    UMass Memorial Health Alliance

    201 Highland Street | Clinton, MA 01510
    Telephone: 978-368-3761

OFFICE HOURS*

Monday 8:00am - 5:00pm
Tuesday 8:00am - 5:00pm
Wednesday 8:00am - 5:00pm
Thursday 8:00am - 5:00pm
Friday temporarily closed

The office is generally closed for lunch from 12-1 daily.
*Office hours are subject to change without notice. Scheduling can direct you with additional times when available.

Make An Appointment

To schedule an appointment, please call (508) 485-3665 OR Make an Appointment Request online.
We are currently accepting new patients and referrals.

REQUEST AN APPOINTMENT