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rdmoore2003:
When an insurance company gives a partial authorization for services and they require us to notify the patient that the charges not authorized can be billed to patient if patient is given this information and amounts prior to the service.  My question is, is there a general form that I can find that documents this information or is it just something I need to come with.    For example,  we request 4 units of psych testing.  We get auth for 3 units and if we bill patient for the remaining 1 unit.  We have to get this in writing prior to the service.   Is there a general form?

DMK:
Could you make up a form similar to the Medicare ABN?  Their verbage is clear and concise.

rdmoore2003:
I could....thanks....its Friday,  and my brain usually cuts off by now....

PMRNC:
Don't forget that you have to look at each carriers contract to determine IF you can bill the patient, some contracts do not allow you to bill patient for services not authorized beyond what they authorize.

DMK:
Yeah, my brain just cut out too!  And it's only 9:20 AM and I gotta work til 5............Good thing I'm not a brain surgeon!

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