Medical Billing Forum

Billing => Billing => : ellie July 26, 2012, 10:15:26 PM

: BALANCE BILLING
: ellie July 26, 2012, 10:15:26 PM

WE ARE CONTRACTED WITH CIGNA - PATIENT GETS A CAST. CIGNA DENIES STATING PHYSICIAN'S CONTRACT DOES NOT ALLOW THE CPT CODE BILLED. STATES THERE SHOULD BE A WRITE OFF.  I KNOW SOME OFFICES BALANCE BILL THE PATIENT ANYWAY. WHAT IS THE LEGAL PROCESS FOR THIS ? JUST GETTING BACK TO OFFICE BILLING WHICH I HAVE NOT DONE IN A WHILE.

: Re: BALANCE BILLING
: troyrands July 27, 2012, 11:05:39 AM

It might me the speciality code issue. let me know your speciality and the code that you are billed?

: Re: BALANCE BILLING
: SLITTLES July 28, 2012, 03:43:51 PM

Ellie, I would definitely check the contract first and foremost; also make sure the correct code/POS was used.  Normally when you are you contracted with an insurance company, you can not balance bill the patient.

: Re: BALANCE BILLING
: rmk123 August 11, 2012, 05:53:08 PM

I would also check your state's law on balance billing, as some states do prohibit this.

: Re: BALANCE BILLING
: healthcarebilling August 28, 2012, 10:33:52 AM

I completely agree with SLITTLES.