Author Topic: Self pay clients with insurance  (Read 1682 times)

tdiet0928

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Self pay clients with insurance
« on: November 29, 2011, 02:07:04 PM »
If we are credentialled with an insurance, are we obligated to bill the insurance if the client doesn't want to use it?  If not, we would like to use a waiver to prevent them from coming back on us later. Does anyone have a sample they could send me?

Also, if we have closed to new clients for an insurance (we are pulling out from the network due to poor reimbursement) but a client wants to pay OOP to come see us (and has the insurance mentioned) are we obligated to bill in this situation??  We will still be seeing current clients under the insurance until they are discharged, but not taking on any new ones.

Thanks!

Tawny

rdmoore2003

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Re: Self pay clients with insurance
« Reply #1 on: November 30, 2011, 05:38:37 PM »
it is up to the patient if they want us to file insurance.   in mental health, we have had patients to come in and say that they do not want their insurance to know.  we have a form on our letterhead that patient must complete with there name, dob, etc but the form specifically states that they patient has chosen to opt out of having there insurance filed. 

Medical Billing Forum

Re: Self pay clients with insurance
« Reply #1 on: November 30, 2011, 05:38:37 PM »