General Category > General Questions

Collecting Copays and co-insurance

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Tifsmom1:
Thank you all for the replies. I was finally able to find the information and convince the company that what we were saying was correct.

RichardP:
Note this distinction, tho:

1.  Collect at time of office visit;
2.  Collect by billing.

It seems that one is playing by the rules if they bill the patient for the co-pay.  So no one is going to be convicted of insurance fraud if the co-pay is not collected at the time of service.  But that is assuming you can actually collect the co-pay by billing the patient.

From Shanbull's link:

When collecting or attempting to collect co-pays, you are required to make a good faith effort to collect, which means speaking to your patient population about paying at the time of service, sending out notices of late payments and possibly sending off late bills to collection.  Rule of thumb - make at least 3 attempts.

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