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Medical Billing Forum
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Billing
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Billing
(Moderators:
Alice Scott
,
Michele
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Out of Network
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Topic: Out of Network (Read 2910 times)
bsmedbilling
Newbie
Posts: 30
Out of Network
«
on:
March 28, 2011, 07:34:42 PM »
Hi Everyone,
If a claim is processed and the provider is out of network and the insurance company sends the payment to the patient. Are we to bill the patient for the amounts charged?
Thanks,
Bsmedbilling
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Michele
Administrator
Hero Member
Posts: 5927
Re: Out of Network
«
Reply #1 on:
March 29, 2011, 10:40:33 AM »
Yes.
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bsmedbilling
Newbie
Posts: 30
Re: Out of Network
«
Reply #2 on:
March 29, 2011, 04:04:04 PM »
Thanks Michele
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bsmedbilling
Newbie
Posts: 30
Re: Out of Network
«
Reply #3 on:
March 29, 2011, 04:22:04 PM »
Michele,
One more question. Do we bill the total provider charges?
Thanks,
Bsmedbilling
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Out of Network
«
Reply #4 on:
March 29, 2011, 06:41:30 PM »
yes, unless the patient gives you a copy of the eob and the eob says differently. out of network says you do not have an agreement with that insurance company to go by a contracted fee.
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Medical Billing Forum
Re: Out of Network
«
Reply #4 on:
March 29, 2011, 06:41:30 PM »
bsmedbilling
Newbie
Posts: 30
Re: Out of Network
«
Reply #5 on:
March 30, 2011, 01:59:27 PM »
Thank you for your help
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Medical Billing Forum
Re: Out of Network
«
Reply #5 on:
March 30, 2011, 01:59:27 PM »
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Medical Billing Forum
»
Billing
»
Billing
(Moderators:
Alice Scott
,
Michele
) »
Out of Network