General Category > General Questions

Copay

(1/2) > >>

bsmedbilling:
Hello everyone,

Can the provider waive a patient's copay with private insurance?

Thanks,
Bsmedbilling

DMK:
If they are a contracted provider, they are required to collect co-pays and deductibles.  The patient also has a contract with their insurance company agreeing to pay their portion.

The doctor can take payments towards the balance due (ex. $5.00 p/month if that's all the patient can afford) but they can not "waive" co pays.  It's considered a kick back.

bsmedbilling:
Thanks much :)

Michele:
DMK is absolutely right.  The only exception is in the case of a financial hardship but it MUST be well documented and in the patient's chart.  It cannot be because the patient is his wife's cousin or daughter's boyfriend's aunt, etc.  And the hardship cases can't be forever, each copay must be documented.

melissa_2004:
Anyone ever have an issue communicating this to a provider?  I have but the explanations I found here a few months back took care of that.

Navigation

[0] Message Index

[#] Next page