Hello Everyone,
I work for an OON provider. Let's say our billed charges are $200. The insurance pays $80 and says the member responsibility is $20. Our cash rate is $80. Can I just do a courtesy adjustment for the patient so they don't have to pay the $20?
I ask this because if the insurance had paid only $60 I would have balance billed the patient the remaining $20 to get at least our cash rate....since we are OON. Can I do the opposite of that? Give a courtesy adjustment so the total amount we receive is $80 and the patient does not have to pay more out-of-pocket?
Thank you in advance!