Medical Billing Forum

Payments => Patient Billing => Topic started by: lbd122 on July 07, 2009, 01:20:42 PM

Title: Co-insurance
Post by: lbd122 on July 07, 2009, 01:20:42 PM
Do you have to collect the co-insurance amount that is listed on the EOB?  Is it the same as collecting co-pays?  That you could actually get in trouble for not collecting? 
Title: Re: Co-insurance
Post by: Pay_My_Claims on July 07, 2009, 03:33:43 PM
Yes you do as a contracted provider. You agree to the cost-sharing and coinsurance, deductibles, and copays are all part of that cost sharing.
Title: Re: Co-insurance
Post by: Michele on July 07, 2009, 09:07:50 PM
Copays are a set amount that the patient pays at the time of service.  Co-insurance is determined when the claim is processed and must be billed after payment is received and is usually a % of the allowed amount.

Michele
Title: Re: Co-insurance
Post by: Pay_My_Claims on July 08, 2009, 11:07:48 AM
I thought thats what they were saying since it was "on the EOB". It seemed to me that they were maybe adjusting it off or something.
Title: Re: Co-insurance
Post by: Michele on July 09, 2009, 07:10:01 AM
Sorry, it's a pet peave (spelling??) of mine.  Drives me crazy when someone calls coinsurance a copay.  I guess that's the perfectionist in me.

Michele