Billing > Billing

PASS-THROUGH BILLING?

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Michele:
OK, so rereading the definition of pass through billing, I understand what you are thinking.  I have seen pass through billing mostly with labs.  The provider billing the insurance for the labs doesn't perform the tests, but sends the bills in for a much higher amount than they paid the lab that did the testing.  So with the radiology, I was thinking they are billing for the global service, but paying someone to read the xray.  So it seemed different.  But after rereading the definition I see that it really is the same thing.  I am not a legal expert so I would advise that someone with experience in legal medical issues be consulted on this question.  I tried to research it more, but couldn't find anything.

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