Billing beneficiary with a non-contracted insurance
I'm asking just to be on the safe side: doctor saw a patient in the hospital and once in the office. Probably won't see him again. Patient has an insurance with which the doctor isn't contracted. The...
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1) The doctor is not contracted with the patient's insurance company, therefore, the insurance company has no legal obligation to pay the doctor. 2) The patient is contracted with their insurance...
View ArticleRe: Billing beneficiary with a non-contracted insurance
Smells to me like a silent PPO. Many major carriers now have contracts with other PPOs to help discount out of network costs. Multiplan is one that pops up alot. Usually the EOB will state "multiplan...
View ArticleRe: Billing beneficiary with a non-contracted insurance
This is why my PPO contracts state that unless the PPO is listed in the attachment, the PPO is not entitled to my discount. My contract also states that any new PPO to be added to the contract, must...
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