Author Topic: out of network  (Read 1501 times)

wharta

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out of network
« 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?

Yesica

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Re: out of network
« Reply #1 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.

Pay_My_Claims

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Re: out of network
« Reply #2 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.

wharta

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Re: out of network
« Reply #3 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!!!!!!

Pay_My_Claims

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Re: out of network
« Reply #4 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