Author Topic: Excess payment from payers  (Read 134 times)

spectramedi

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Excess payment from payers
« on: August 18, 2017, 02:56:54 AM »
What are the various methods to handle excess payment from payers? The payers have clarified that the payment is correct. Kindly let us know on how post it?

Michele

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Re: Excess payment from payers
« Reply #1 on: August 18, 2017, 11:10:40 AM »
It depends on the reason for the excess payment.  For example, if the excess payment is due to a patient being over insured then the patient is entitled to the overpayment.  If a patient has insurance thru an employer (or family member's employer) but also has a purchased policy, then they would be entitled to any overpayment.  The only other situation I can think of is if a secondary policy allows more than the primary policy and the contractual adjustment for the primary was applied.  In that case the contractual adjustment would be adjusted to show the allowance of the secondary. 

Is there another reason you have excess payment?

 
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