Medical Billing Forum
Payments => Patient Billing => : jbailey June 23, 2015, 03:28:48 PM
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I'm asking question for a colleague. A commercial insurance carrier denies a claim and the EOB states that the patient is not responsible for charges. Then how does the doctor get paid? This is a service normally performed by the doctor, and insurance verification advised no authorization needed. Can anyone offer any explanations?
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There should be another remark on the EOB regarding the denial. Can't help w/out complete information. Billed Services, charges, and EOB reason for denial is needed to further advise you.