Author Topic: PATIENT BALANCE  (Read 1994 times)

ellie

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PATIENT BALANCE
« on: November 13, 2011, 08:21:51 PM »

CERTAIN BC IS OON FOR OUR FACILITY. I KNOW THE PATIENT'S DEDUCTIBLE & COINSURANCE ARE MUCH HIGHER THAN IT WOULD BE FOR IN NETWORK. THE PATIENT RESPONSIBILITY PR-45 ENDS UP BEING THE FULL AMOUNT BILLED. DO THEY OWE THAT OR JUST THEIR OON DEDUCTIBLE & COINSURANCE. ALWAYS CONFUSED ON THIS.

Sriram_Sub

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Re: PATIENT BALANCE
« Reply #1 on: November 14, 2011, 07:22:15 AM »
I guess you need to go by what your EOB says. If it says full amount, that should be it.
Sriram

rdmoore2003

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Re: PATIENT BALANCE
« Reply #2 on: November 14, 2011, 10:34:39 AM »
I agree.   if oon, look at the eob and it will tell you how much applies towards the deductible.   the remaining is pt resp. also because of oon. 
Regina

Michele

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Re: PATIENT BALANCE
« Reply #3 on: November 15, 2011, 06:37:42 AM »
If you are OON then the pt responsibility would be the full amount billed.
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