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Author Topic: BALANCE BILLING  (Read 2539 times)

ellie

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BALANCE BILLING
« on: July 26, 2012, 10:15:26 PM »

WE ARE CONTRACTED WITH CIGNA - PATIENT GETS A CAST. CIGNA DENIES STATING PHYSICIAN'S CONTRACT DOES NOT ALLOW THE CPT CODE BILLED. STATES THERE SHOULD BE A WRITE OFF.  I KNOW SOME OFFICES BALANCE BILL THE PATIENT ANYWAY. WHAT IS THE LEGAL PROCESS FOR THIS ? JUST GETTING BACK TO OFFICE BILLING WHICH I HAVE NOT DONE IN A WHILE.
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troyrands

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Re: BALANCE BILLING
« Reply #1 on: July 27, 2012, 11:05:39 AM »
It might me the speciality code issue. let me know your speciality and the code that you are billed?
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SLITTLES

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Re: BALANCE BILLING
« Reply #2 on: July 28, 2012, 03:43:51 PM »
Ellie, I would definitely check the contract first and foremost; also make sure the correct code/POS was used.  Normally when you are you contracted with an insurance company, you can not balance bill the patient.
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Shontel Littles
" Show Me The Money"

rmk123

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Re: BALANCE BILLING
« Reply #3 on: August 11, 2012, 05:53:08 PM »
I would also check your state's law on balance billing, as some states do prohibit this.
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healthcarebilling

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Re: BALANCE BILLING
« Reply #4 on: August 28, 2012, 10:33:52 AM »
I completely agree with SLITTLES.
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Medical Billing Forum

Re: BALANCE BILLING
« Reply #4 on: August 28, 2012, 10:33:52 AM »
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