Medical Billing Forum

Billing => Billing => : bsmedbilling March 28, 2011, 07:34:42 PM

: Out of Network
: bsmedbilling March 28, 2011, 07:34:42 PM

Hi Everyone,

If a claim is processed and the provider is out of network and the insurance company sends the payment to the patient. Are we to bill the patient for the amounts charged?

Thanks,
Bsmedbilling

: Re: Out of Network
: Michele March 29, 2011, 10:40:33 AM

Yes.

: Re: Out of Network
: bsmedbilling March 29, 2011, 04:04:04 PM

Thanks Michele

: Re: Out of Network
: bsmedbilling March 29, 2011, 04:22:04 PM

Michele,

One more question. Do we bill the total provider charges?

Thanks,
Bsmedbilling

: Re: Out of Network
: rdmoore2003 March 29, 2011, 06:41:30 PM

yes, unless the patient gives you a copy of the eob and the eob says differently.  out of network says you do not have an agreement with that insurance company to go by a contracted fee.

: Re: Out of Network
: bsmedbilling March 30, 2011, 01:59:27 PM

Thank you for your help