Medical Billing Forum

Billing => Billing => : PMBS September 20, 2018, 12:57:33 PM

: United Health Care WOL
: PMBS September 20, 2018, 12:57:33 PM

I recently received a denial from UHC stating that because we did not sign the WOL (Waiver of Liability) they were not going to process our claim.  We are not participating providers with UHC. 

Is anyone else having this issue?  Can they deny the claim if we do not want to sign the WOL or is it mandatory that we sign this form?

Any help will be appreciated.

Thank you

: Re: United Health Care WOL
: Michele September 21, 2018, 05:24:54 PM

I have not heard of that.  Personally since you are not participating I would think it's up to the patient to appeal.

: Re: United Health Care WOL
: AGOG October 24, 2018, 01:21:49 PM

I never heard of that denial either. I have been working for out of network ASC for over 4 years now.

: Re: United Health Care WOL
: PMRNC October 24, 2018, 01:53:21 PM

This must be Medicare Advantage Plan. Might want to take a look at this link:
 http://pioneerprovidernetwork.com/pdf/MA-Plan-Non-Contracted-Provider-Payment-Appeal-Process.pdf     

Is this an appeal? You may not be able to bill patient w/out the waiver signed.