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copays/allowed amounts

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Billing2:
We have been running in to this a lot lately, with co-pays being so high. We have been told by many insurances to have the patient sign a letter that the co-pay is more than the allowed amount and put it in there chart to show in compliance with collecting co-pays.
I have been having my office do this. I use the letter from the NPCC and it works very well.

PMRNC:

--- Quote ---We have been running in to this a lot lately, with co-pays being so high. We have been told by many insurances to have the patient sign a letter that the co-pay is more than the allowed amount
--- End quote ---

Copay more than allowable? Never seen that one yet. Seen deductibles and coinsurance more but not copay's

Easy way to remember is U&C/R&C cuts to reimbursement are patient responsibility and "adjustments" are not (contracted providers)

DMK:
MD's shouldn't have an allowable that is more than the co-pay, but it happens often in Chiropractic since our services are reimbursed at pretty low levels.  Even a $25.00 copay is more than the allowable for a 98940 or 98941 for Blue Cross (we get $22.41)

PMRNC:
Ouch.. yet another reason I don't bill chiropractic. LOL

Merry:
Even a $25.00 copay is more than the allowable for a 98940 or 98941 for Blue Cross (we get $22.41)>>

Live and learn. Never ran into this but then, this is what this board is all about

Merry

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