Author Topic: Co-insurance  (Read 1736 times)

lbd122

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Co-insurance
« 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? 

Pay_My_Claims

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Re: Co-insurance
« Reply #1 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.

Michele

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Re: Co-insurance
« Reply #2 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
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Pay_My_Claims

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Re: Co-insurance
« Reply #3 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.

Michele

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Re: Co-insurance
« Reply #4 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
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