Author Topic: Providing a Super Bill  (Read 2194 times)

Angie

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Providing a Super Bill
« on: August 10, 2011, 04:15:32 PM »
Is it the law that we have to provide a super bill for a facility that is a private pay all inclusive/daily rate; and does not participate with any of the insurance companies? This patient has a balance on his account and is asking for a super bill so he can submit it to his insurance to seek reimbursement and told us it was the law that we had to provide one......
« Last Edit: August 10, 2011, 04:18:38 PM by Angie »

PMRNC

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Re: Providing a Super Bill
« Reply #1 on: August 10, 2011, 06:21:05 PM »
Yes it is a law, just because you don't participate doesn't mean they can't submit for reimbursement. The superbill must contain all information that would be included on an insurance claim form. Tax ID, facility name, address, physician rendering services, CPT codes, ICD9 codes, etc.
Linda Walker
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Angie

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Re: Providing a Super Bill
« Reply #2 on: August 11, 2011, 08:45:44 AM »
Even if they have a delinquent balance on their account and have been discharged for 5 months?  We will provide our clients with this information if requested but only if they have paid their account in full as we clearly state we are private pay and donít accept any insurance payments. Also this is for a Therapeutic Wilderness Program.

PMRNC

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Re: Providing a Super Bill
« Reply #3 on: August 11, 2011, 10:13:58 AM »
No, you have to provide it upon request by law. You have to understand that it's the facility fault for not collecting up front if that is the policy of your office. The patient most likely didn't pay because they need to submit it, in the future it's best to just tell patient's that is your policy and not let them run a balance, have patient's sign a copy of your office financial policy and ask for payment upon arriving if you need to. Regardless you must always provide a patient with a full billing statement upon request. You cannot withhold the bill/statement for payment, and even if you could it's not going to be in your best interest to do so if the patient does not have the funds to make payment.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Angie

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Re: Providing a Super Bill
« Reply #4 on: August 11, 2011, 10:44:24 AM »
Great, Thank you for your help!