Medical Billing Forum

Payments => Patient Billing => : wharta March 02, 2010, 04:50:48 PM

: out of network
: wharta March 02, 2010, 04:50:48 PM

We had a claim that was denied by united due to the provider being out of network. Can we bill the patient?

: Re: out of network
: Yesica March 02, 2010, 07:21:23 PM

We our not contracted with United and we bill patient, did you notify patient prior to visit that the doctor was not in network.

: Re: out of network
: Pay_My_Claims March 02, 2010, 09:40:50 PM

regardless of them notifying the client, if it denied as OON, pat responsibility, the patient can be billed. providers are NOT obligated to tell a patient they are non par with their insurance, but it is to the providers best interest to do so, collect up front and bill non-assigned for possible reimbursement to the patient.

: Re: out of network
: wharta March 03, 2010, 06:22:05 AM

Thanks, i thought we would be able to bill the patient, I knew you would know pay my claims!!!!!!

: Re: out of network
: Pay_My_Claims March 03, 2010, 07:47:06 PM

: wharta  March 03, 2010, 06:22:05 AM

Thanks, i thought we would be able to bill the patient, I knew you would know pay my claims!!!!!!

I take that as a compliment....but just like you, I hit these boards with ??? myself. I'm glad others are here to help me along the way