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Patient Information



Payment / Card Holder Information


What's This?

Card Verification Value Code (CVV)

Visa/MasterCard

This number is printed in the signature area of the back of the card. It is the last 3 digits AFTER the credit card number in the signature area of the card.

American Express

You can find your four-digit card verification number on the front above the credit card number on either the right or the left side of your credit card.





For questions on your bill, please call:

  • Hospital: 800-485-2539
  • Signature Medical Group: 508-941-0986

Brockton Hospital and Signature Medical Group (SMG) are both members of the Signature Healthcare family, but are separate entities. As a result, you will receive separate bills for physician services and hospital services. You can pay both Hospital and SMG bills on-line on this site.

Brockton Hospital and SMG business offices will submit claims to your insurance carrier on your behalf. It is important that you provide the most up-to-date insurance information applicable for that service encounter. You should be familiar with the terms of your insurance coverage and your deductible, co-insurance, and co-payment responsibilities, as determined by your plan. If you have any questions about your insurance coverage, we recommend that you contact your insurance company. For questions about Hospital bills, please call (800) 485-2539. For questions about SMG bills, please call (508) 941-0986.

Total payment is expected for the member portion of the medical bill at the time of service or billing. We accept cash, check, and credit card payments, including on-line electronic payment processing.

Financial assistance is available for uninsured and underinsured individuals who are not eligible for public assistance and cannot afford to pay for their medical care. The premise of the program is that all individuals are expected to contribute to their care, based on their ability to pay. Assistance is given based on the individual's household income, assets, family size, expenses, and medical needs. We understand that each individual has a unique financial situation and encourage you to contact our certified application counselors to apply, or for more information, at telephone # (508) 941-7919, between 8:00AM and 4:30PM, seven days a week. Each request for assistance is handled confidentially.
 

Privacy Policy

Signature Healthcare takes the security of your information seriously.

To prevent unauthorized access, maintain data accuracy, and ensure the appropriate use of your information, Signature Healthcare has implemented numerous physical, electronic and administrative procedures to safeguard and secure the information we collect online. However, it is impossible for us to fully guarantee that these measures will prevent any or all unauthorized use of your information.

Financial Privacy Policy | PDF
 

Refund Policy

It is the policy of Signature Healthcare to refund verified patient overpayments within 30 days of receipt.

We may use and disclose PHI for payment purposes—to be paid for the health care services provided to you. Payment includes activities such as: submitting claims to insurance companies/health plans or government programs; participating in utilization review activities; coordinating benefits and collection activities.