Medical Billing Forum

Payments => Patient Billing => Topic started by: ellie on November 13, 2011, 08:21:51 PM

Title: PATIENT BALANCE
Post by: ellie on November 13, 2011, 08:21:51 PM

CERTAIN BC IS OON FOR OUR FACILITY. I KNOW THE PATIENT'S DEDUCTIBLE & COINSURANCE ARE MUCH HIGHER THAN IT WOULD BE FOR IN NETWORK. THE PATIENT RESPONSIBILITY PR-45 ENDS UP BEING THE FULL AMOUNT BILLED. DO THEY OWE THAT OR JUST THEIR OON DEDUCTIBLE & COINSURANCE. ALWAYS CONFUSED ON THIS.
Title: Re: PATIENT BALANCE
Post by: Sriram_Sub on November 14, 2011, 07:22:15 AM
I guess you need to go by what your EOB says. If it says full amount, that should be it.
Title: Re: PATIENT BALANCE
Post by: rdmoore2003 on November 14, 2011, 10:34:39 AM
I agree.   if oon, look at the eob and it will tell you how much applies towards the deductible.   the remaining is pt resp. also because of oon. 
Title: Re: PATIENT BALANCE
Post by: Michele on November 15, 2011, 06:37:42 AM
If you are OON then the pt responsibility would be the full amount billed.