Author Topic: SUPERBILL FOR SELF PAY  (Read 1025 times)

alaska

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SUPERBILL FOR SELF PAY
« on: April 10, 2019, 08:08:31 PM »
We are only in network with one company. We have many OON patients. My provider wants to charge the patient cash rate at time of service. Then she is offering them a superbill. I want to make sure I understand this before I actually give the patient a superbill.

The superbill must show the cost the patient has paid, I understand this...but... I thought we are supposed to charge everyone equal. So if I am collecting cashpay/discount at time of service of $100, the superbill says $100 has been paid, but then I have another patient that we bill the insurance for them and we bill the insurance $150. I don't think this is correct. Can someone help me with this one?

Also, my provider would like to select "no" on accept assignment for these types of patients?

-alaska
« Last Edit: April 10, 2019, 08:27:29 PM by alaska »

PMRNC

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Re: SUPERBILL FOR SELF PAY
« Reply #1 on: April 11, 2019, 09:03:56 AM »
There's no law that says you cannot offer cash discount. Your bill to patient should, however reflect any discount in case they file to their insurance themslelves.

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Also, my provider would like to select "no" on accept assignment for these types of patients?

Remember that accept assignment/assignment of benefits are different. And there are carriers for example, many BCBS plans that won't honor assignment of benefits for non par plans so make sure you collect in full. Also that would be the CMS1500 not a superbill, do you mean for par providers you are filing insurance claims for?
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

alaska

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Re: SUPERBILL FOR SELF PAY
« Reply #2 on: April 11, 2019, 07:12:32 PM »
We have many OON patients. They are asking for a superbill after they pay the time of service, cash discount...
thank you for your response!

PMRNC

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Re: SUPERBILL FOR SELF PAY
« Reply #3 on: April 17, 2019, 12:37:28 PM »
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We have many OON patients. They are asking for a superbill after they pay the time of service, cash discount...

Yes, and make SURE the actual charges are there or full charge and show discount (either is acceptable) I've seen doctors give generic superbill with original charges and patient tries to file to get more $.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Medical Billing Forum

Re: SUPERBILL FOR SELF PAY
« Reply #3 on: April 17, 2019, 12:37:28 PM »