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 |
108 CMR, § 10.12