Questions about your physician bill?

Contact Information:

Massachusetts General Physicians Organization:
617-726-2040

North Shore Physicians Group:
866-669-2772

Newton-Wellesley Ambulatory Services:
617-726-6660

Customer Service »

ANNUAL PATIENT HEALTHCARE SPENDING SUMMARY REQUEST -
CALENDAR YEAR 2014

Thank you for your interest in receiving your personal Annual Patient Healthcare Spending Summary. This summary will include the details of all payments you made in 2014 (dates shown below), to the following physician organizations:

• Massachusetts General Physicians Organization - payment dates of 1/2014 – 7/11/2014
• Newton-Wellesley Ambulatory Services – payment dates 1/2014
• North Shore Physicians Group - payment dates of 1/1/2014- 12/31/2014

Please complete the information below and click the "Submit Your Responses" button to send. All fields are required to ensure that your Annual Patient Healthcare Spending Summary can be mailed/emailed to you in a timely manner. Upon successful submission, you will receive your summary within 5 - 7 business days.

If you would like to receive your Annual Patient Healthcare Spending Summary for dates not listed above, please contact Customer Service at PBOCustomerService@partners.org or (617) 726-2040.

Thank you,
MGPO Professional Billing Office


Please provide the following information (*required)
First Name*  
Middle Name
Last Name*  
Please check if you want to receive your summary via email:  
Email Address
   
Re-type Email Address    
Account Number*  
Re-type Account Number*    


I give the MGPO Professional Billing Office my permission to send me the 2014 Annual Patient Healthcare Spending Summary as requested.