Medical Billing Forum

Payments => Patient Billing => : ellie November 13, 2011, 11:21:51 PM

: PATIENT BALANCE
: ellie November 13, 2011, 11:21:51 PM

CERTAIN BC IS OON FOR OUR FACILITY. I KNOW THE PATIENT'S DEDUCTIBLE & COINSURANCE ARE MUCH HIGHER THAN IT WOULD BE FOR IN NETWORK. THE PATIENT RESPONSIBILITY PR-45 ENDS UP BEING THE FULL AMOUNT BILLED. DO THEY OWE THAT OR JUST THEIR OON DEDUCTIBLE & COINSURANCE. ALWAYS CONFUSED ON THIS.
: Re: PATIENT BALANCE
: Sriram_Sub November 14, 2011, 10:22:15 AM
I guess you need to go by what your EOB says. If it says full amount, that should be it.
: Re: PATIENT BALANCE
: rdmoore2003 November 14, 2011, 01:34:39 PM
I agree.   if oon, look at the eob and it will tell you how much applies towards the deductible.   the remaining is pt resp. also because of oon. 
: Re: PATIENT BALANCE
: Michele November 15, 2011, 09:37:42 AM
If you are OON then the pt responsibility would be the full amount billed.