Provider-Based Billing
Provider-based, or hospital-based, billing
CoxHealth has provider-based clinics that operate as an extension of the main hospital—meaning the main campus owns the clinic space and employs staff who assist with patient care. These locations are also referred to as hospital-based and are outpatient departments of the hospital. Like our hospital locations, these clinics are equipped with the resources and expertise of the hospital, enabling integrated care close to home. Our billing practices reflect our commitment to extending our hospital's resources to the community.
What to expect from a provider-based location
Provider-based CoxHealth clinics are subject to specific billing requirements—meaning we'll send the following two claims to your insurance company:
- Facility costs for services provided by the hospital, or hospital-based facility, including:
- Staff, such as nurses and receptionists
- Diagnostic services, such as laboratory and X-ray
- Supplies and medicines
- Physician costs for services provided by the doctor, including:
- Exams
- Ordering and reading of tests
- Procedures performed
Read the frequently asked questions below to learn more.