Abstract: A system for outpatient treatment of patients diagnosed with a chronic health related condition includes a virtual office site operated with a server. The virtual office site is accessible over a network by a patient using a first browser, a physician using a second browser and a nurse case manager using a third browser. The patient and the patient's physician are provided secure communications to participate in a virtual office visit using the virtual office site. In addition, the physician may submit an electronic payment request with the virtual office site for reimbursement of services rendered. The nurse case manager is provided selective access to the communications to assist the patient in management of the patient's chronic health related condition.