Author Topic: Out of network billing  (Read 6730 times)


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Re: Out of network billing
« Reply #15 on: September 15, 2010, 08:14:05 PM »
Many BCBS plans do send checks to a non-par provider.  We have billed for OON midwives in 32 states--most of them send the check to the midwife, not the member.
Kelli Sugihara, CPMB
Midwife Billing & Business, LLC


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Re: Out of network billing
« Reply #16 on: September 16, 2010, 06:09:49 AM »
They are not supposed to.. there are 6 states that have taken them to court and lost because they don't honor assignment of non par providers. I had a provider once that got his checks and upon research we found he had a contract he never canceled or opted out of.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers


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Re: Out of network billing
« Reply #17 on: September 25, 2010, 12:13:03 AM »

I'm only familiar with Georgia where BC/BS will pay a non par provider who accepts assignment as long as the patient has a Georgia policy. If the patient has an out of state or federal policy, then the check will always go to the patient.
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