Author Topic: Out of Network  (Read 1384 times)

bsmedbilling

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Out of Network
« on: March 28, 2011, 04:34:42 PM »
Hi Everyone,

If a claim is processed and the provider is out of network and the insurance company sends the payment to the patient. Are we to bill the patient for the amounts charged?

Thanks,
Bsmedbilling

Michele

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Re: Out of Network
« Reply #1 on: March 29, 2011, 07:40:33 AM »
Yes.
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bsmedbilling

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Re: Out of Network
« Reply #2 on: March 29, 2011, 01:04:04 PM »
Thanks Michele

bsmedbilling

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Re: Out of Network
« Reply #3 on: March 29, 2011, 01:22:04 PM »
Michele,

One more question. Do we bill the total provider charges?

Thanks,
Bsmedbilling

rdmoore2003

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Re: Out of Network
« Reply #4 on: March 29, 2011, 03:41:30 PM »
yes, unless the patient gives you a copy of the eob and the eob says differently.  out of network says you do not have an agreement with that insurance company to go by a contracted fee.
Regina

bsmedbilling

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Re: Out of Network
« Reply #5 on: March 30, 2011, 10:59:27 AM »
Thank you for your help