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collecting payments

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Billergirlnyc:
Yes, what Linda said. Also tell your doctor that very few commercial carriers will back date effective dates when it comes to credentialing (I honestly can only think of maybe 3 out of 30 carriers that I know of that offer some flexibility on effective dates). Most give approval dates AFTER it hits the boards for approval.

ruthie72:
Thank you Linda and Richard..I will just bill the claim and deal with it when the  time comes I guess. I tried to do my best to explain it to her..She is very confusing lol..anyway..Thanks so much for your help..If the charge is 75 and the insurance company pays her 70 then the patient is getting a $5 dollar bill...and that is just the way it has to be. Correct?? thanks again. Have a great day. ;D

PMRNC:
What you can do in this case with an overzealous provider is put a report together in a few months (2-3) with the credit returns so she can get a feel as to what this does to her overall A/R.   She is thinking.. better to collect more now.. which isn't an entirely BAD thing.. but it can lead to some problems down the road, she should NOT have to routinely issue credit refunds. Also a patient or two could make a headache for her if they get ticked off enough. I know I would NOT be happy to pay my doctor up front with an assignment of benefits and they collected more than I paid.. I had a dentist that did that and eventually I switched.. didn't feel it necessary to pay $700 when my insurance company paid them $700 10 days later.  That's another thing.. The doctor really shouldn't be doing an assignment of benefits with the patients if they are OON .. I'm surprised she hasn't had patients complain.

ruthie72:
Me either..I will keep you posted on how it all goes..thanks again for all of your help. :)

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