Medical Billing Forum

Payments => Patient Billing => Topic started by: wharta on March 02, 2010, 01:50:48 PM

Title: out of network
Post by: wharta on March 02, 2010, 01:50:48 PM
We had a claim that was denied by united due to the provider being out of network. Can we bill the patient?
Title: Re: out of network
Post by: Yesica on March 02, 2010, 04:21:23 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.
Title: Re: out of network
Post by: Pay_My_Claims on March 02, 2010, 06:40:50 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.
Title: Re: out of network
Post by: wharta on March 03, 2010, 03:22:05 AM
Thanks, i thought we would be able to bill the patient, I knew you would know pay my claims!!!!!!
Title: Re: out of network
Post by: Pay_My_Claims on March 03, 2010, 04:47:06 PM
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