Medical Billing Forum

General Category => General Questions => Topic started by: Satish on June 01, 2012, 01:00:48 AM

Title: Benefits
Post by: Satish on June 01, 2012, 01:00:48 AM
What are the questions to be ask to check the benefits with insurance company
Title: Re: Benefits
Post by: Sriram_Sub on June 01, 2012, 05:34:59 AM
To my knowledge...., it would include...

the effective date of the patient's coverage;
type of plan that the member has coverage with;
if you are not in network, you should also verify if the patient has out of network benefits;
if you know the type of treatment that has been planned, you may also mention the same and verify if that would be covered;
coordination of benefits;
copay amount for office visits; etc.


Let me look forward for better answers.
Title: Re: Benefits
Post by: Michele on June 04, 2012, 06:52:04 AM
also, if authorization or referral is required.