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Medical Billing Forum
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Out of network billing
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Topic: Out of network billing (Read 11791 times)
midwifebiller
Full Member
Posts: 154
Re: Out of network billing
«
Reply #15 on:
September 15, 2010, 11:14:05 PM »
Many BCBS plans
do
send checks to a non-par provider. We have billed for OON midwives in 32 states--most of them send the check to the midwife, not the member.
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Kelli Sugihara, CPMB
Midwife Billing & Business, LLC
www.midwifebilling.com
PMRNC
Hero Member
Posts: 4562
Re: Out of network billing
«
Reply #16 on:
September 16, 2010, 09:09:49 AM »
They are not supposed to.. there are 6 states that have taken them to court and lost because they don't honor assignment of non par providers. I had a provider once that got his checks and upon research we found he had a contract he never canceled or opted out of.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Betterway
Newbie
Posts: 1
Re: Out of network billing
«
Reply #17 on:
September 25, 2010, 03:13:03 AM »
I'm only familiar with Georgia where BC/BS will pay a non par provider who accepts assignment as long as the patient has a Georgia policy. If the patient has an out of state or federal policy, then the check will always go to the patient.
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Medical Billing Forum
Re: Out of network billing
«
Reply #17 on:
September 25, 2010, 03:13:03 AM »
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Medical Billing Forum
»
Payments
»
Insurance Payments
(Moderators:
Alice Scott
,
Michele
) »
Out of network billing