Billing > Billing

BALANCE BILLING

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ellie:

WE ARE CONTRACTED WITH CIGNA - PATIENT GETS A CAST. CIGNA DENIES STATING PHYSICIAN'S CONTRACT DOES NOT ALLOW THE CPT CODE BILLED. STATES THERE SHOULD BE A WRITE OFF.  I KNOW SOME OFFICES BALANCE BILL THE PATIENT ANYWAY. WHAT IS THE LEGAL PROCESS FOR THIS ? JUST GETTING BACK TO OFFICE BILLING WHICH I HAVE NOT DONE IN A WHILE.

troyrands:
It might me the speciality code issue. let me know your speciality and the code that you are billed?

SLITTLES:
Ellie, I would definitely check the contract first and foremost; also make sure the correct code/POS was used.  Normally when you are you contracted with an insurance company, you can not balance bill the patient.

rmk123:
I would also check your state's law on balance billing, as some states do prohibit this.

healthcarebilling:
I completely agree with SLITTLES.

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