Billing & Insurance

Under the No Surprises Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like prescription drugs, equipment, and outpatient fees performed at our health center.
• Medical tests at Fenway Health are conducted by Quest Labs. Fenway is not able to provide an estimate for these services, but you can call 1.866.MYQUEST to talk to Quest.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• You have a right to initiate the patient-provider dispute resolution process if the actual billed charges from Fenway are $400 more than the expected charges included in the good faith estimate you receive before your visit.
  • You may contact the health center directly to let them know your billed charges are higher that the Good Faith Estimate. The facility will review the actual charges and the Good Faith Estimate to determine if an adjustment to the charges billed should be made. You can also ask if there is financial assistance available. Please call the Billing Department at 617-927-6050 to inquire about the dispute process.
  • You may also start a dispute process with the U.S. Department of Health and Human Services (HHS). If you choose to use this dispute resolution process you must start the dispute process within 120 calendar days of the date on the original bill. There is a $25.00 fee to use the HHS dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
    • To learn more and get a form to start the process, go to cms.gov/nosurprises/consumers or call 1.800.985.3059.
  • For questions or more information about your right to a Good Faith Estimate or the dispute process, visit cms.gov/nosurprises/consumers or call 1.800.985.3059. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1.800.985.3059.