This is a problem they're working on solving, I think. The hospital group I've been using in the Portland area recently announced that patient-initiated message

This is a problem they're working on solving, I think. The hospital group I've been using in the Portland area recently announced that patient-initiated messages that take more than a few minutes, and require e.g. digging through a chart, are billable to insurance: https://www.legacyhealth.org/messages https://www.legacyhealth.org/messages MyHealth is just what this hospital system calls their patient-facing Epic portal.