Medical Billing Forum
Payments => Patient Billing => : ellie November 13, 2011, 11:21:51 PM
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CERTAIN BC IS OON FOR OUR FACILITY. I KNOW THE PATIENT'S DEDUCTIBLE & COINSURANCE ARE MUCH HIGHER THAN IT WOULD BE FOR IN NETWORK. THE PATIENT RESPONSIBILITY PR-45 ENDS UP BEING THE FULL AMOUNT BILLED. DO THEY OWE THAT OR JUST THEIR OON DEDUCTIBLE & COINSURANCE. ALWAYS CONFUSED ON THIS.
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I guess you need to go by what your EOB says. If it says full amount, that should be it.
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I agree. if oon, look at the eob and it will tell you how much applies towards the deductible. the remaining is pt resp. also because of oon.
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If you are OON then the pt responsibility would be the full amount billed.