Medical Billing Forum
Payments => Insurance Payments => : Crush3174 October 09, 2014, 03:34:47 PM
-
Hello! This is my first post and I'm hoping someone can answer this for me. I have submitted a DME claim for a client who is out of network. Multiplan is trying to push the doctor to sign off on a discounted allowable. I know the billed charges on the DME item are less than the U&C the insurance is currently paying in that area. The insurance company confirmed if no agreement can be made than they will process the claim at MRC2 which is 300% of Medicare allowable. Medicare allowable for this region is $1340.50. Can someone tell me what the allowable will be? Multiplan is saying if we don't sign then the allowable will be less than $800.00.
-
When working with murtiplan I have found that if the doctor does not sign the document then they are actually reimbursed more than the multiplan document promises. I have found that the leverage they are trying to use is telling providers that they will be reimbursed quicker with the contract than without.
I know this doesn't answer your question. ;)
Barbara
-
I know the billed charges on the DME item are less than the U&C the insurance is currently paying in that area. The insurance company confirmed if no agreement can be made than they will process the claim at MRC2 which is 300% of Medicare allowable. Medicare allowable for this region is $1340.50. Can someone tell me what the allowable will be? Multiplan is saying if we don't sign then the allowable will be less than $800.00.
If you don't sign up your fee is subject to U&C however amounts over U&C are collectable from the patient. Can you accept a participating plan discount on a per claim basis? that will allow you to collect up to the allowable but you won't be able to collect anything more from the patient outside any coinsurance/copay
-
<a href=http://lasix.autos/>lasix and breastfeeding</a> Bhargava, chairman of Maruti Suzuki India Ltd
-
Breakthrough bleeding is common among users of extended contraceptive regimens <a href=http://doxycycline.world/>sun exposure on doxycycline</a>
-
<a href=https://clomids.icu>clomid online pharmacy</a> Niflumic acid was tested on three cells
-
Kioi M, Vogel H and Schultz G et al 2010 Inhibition of vasculogenesis, but not angiogenesis, prevents the recurrence of glioblastoma after irradiation in mice J Clin Invest 120 3 694 705 DOI 10 <a href=https://sviagrass.monster>why doesn't viagra work</a> The town sits three miles off the nearest paved road
-
<a href=http://sviagras.cyou>cheap viagra 100mg</a> The vibrant images, inspired by Edward Hopper and Paul Klee, are all all created pixel by pixel using digital paint brushes and pencils
-
Immune Modulation of Neurodevelopment in Schizophrenia and Autism 21 <a href=http://propecias.buzz>propecia cost</a>
-
In some embodiments, the treatment further comprises administering an additional therapy to said subject prior to, during or subsequent to said administering of the immunogenic composition or the cancer vaccine described herein <a href=http://aviagra.best>is sildenafil viagra</a> cytarabine decreases effects of meningococcal group B vaccine by pharmacodynamic antagonism
-
If you decide to try a probiotic supplement, make sure it has at least 20 to 30 billion bacteria <a href=http://zithromax.mom>zithromax generics</a> In another part of the same article, she wrote,
-
Collectively, these data suggest that DCYTB expressed in breast tissue may not function in its typical iron import role <a href=http://cialis.boats>cialis buy</a>