Billing and Insurance

We kindly request that all patients bring a current insurance card(s) and photo ID to every visit.  This will enable us to have up-to-date and accurate billing information in our system.

All payments are expected at the date of service.  We are often able to work out special payment plans for patients with extenuating circumstances.

Please be aware that any labs done in the office are sent to Quest Diagnostics. Any Lab billing questions please contact Quest directly as we do not have access to their billing system.

At this time we DO NOT accept the following insurance plans (last updated January 2018):

  • Fallon Direct
  • Fallon with Mass Health
  • Celticare
  • Harvard Pilgrim Focus
  • Health Safety Net
  • BMC
  • AARP Medicare complete
  • Tufts Health Spirit Plan
  • Tufts Medicare Preferred HMO

For further assistance regarding insurance or billing please contact our office at 508-303-8553 between the hours of 9:00am and 3:00pm Monday, Tuesday, Thursday and Fridays.  Existing patients who are web-enabled may also contact us regarding billing via their Patient Portal account.

Proof of Insurance
Please present your valid insurance card at each visit.  If your claim is rejected due to incorrect or coverage not in effect, then you are responsible for the charges.  If we are unable to verify your insurance at time of visit, you are considered a Self Pay and you are responsible for payment at time of the visit.

Co-Payments and Deductibles
Co-pays are due at time of appointment.  It is your responsibility to know your insurance plan.  All co-insurance, deductibles, and non-covered expenses will be paid in accordance with our office policies.

Self-Pay or Non-Covered Services
All self-pay expenses are due at time of visit.  This expense will vary based on the complexity of your visit and additional labs.  Please be aware that some of the services you receive may not be covered by your insurance plan.   For patients with extenuating circumstances, we are often able to work out special payment plans.

Check Policy
All checks must be made out to Marlboro Internal Medicine.  A service charge of $30.00 will be assessed for each returned check.

Claims Submission
We will submit claims on your behalf to your insurance company for payment.  Your insurance company may require that you supply certain information directly.  It is your responsibility to coordinate your benefits with your carrier.  Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.

Coverage Changes
If your insurance changes, please notify us before your next visit, so we can update your insurance information in our system.  Providing us with this information prior to your visit will reduce your wait time.  We will also do our best to verify your insurance coverage prior to your visit to minimize surprises at the time of visit.

Our practice is committed to providing the best possible treatment for our patients at a fair and reasonable cost.  Payment is expected at the time of service unless prior arrangements have been made with our business office.  If your account is more than 90 days past due, your account may be turned over to an outside collection agency.  These agencies charge fees.  You agree to be liable for all such collection expense, legal fees, and court costs.  If you are dismissed from the practice as a result of non-payment, you will be notified by certified mail that you have 30 days to find alternative medical care.  During that 30-day period, our providers will only be able to treat you for emergency care.

Accident & Workers Comp
Although our office is happy to treat your medical conditions, if the cause is auto or work related, we ask that you fill out a form with specific information to an open claim.