www.GoodMorningGwinnett.com Ever since Northside took over Gwinnett Medical there have been some huge changes. One main change is the way patients are billed for outpatient procedures. Before when you went for a procedure you would pay a copay if you had one. If you had a deductible you would be billed for that amount at a later date, well that is a thing of the past. When you go for a procedure now, be prepared to pay the deductible amount on that same day or you won't be allowed to get the procedure.