Form for pt's to be resp for known non-payable service?
We do several services that are considered "experimental or investigational" and all though the insurances don't pay for them, they are clearly recommended by our physician and physicians in the same...
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You really don't need a form because services that are investigational or experimental are deemed to be excluded benefits under the patient's benefit plan. In other words, they are non-covered...
View ArticleRe: Form for pt's to be resp for known non-payable service?
I would recommend the form as a CYA procedure.Sharon
View ArticleRe: Form for pt's to be resp for known non-payable service?
Are you sure you're reading your contract correctly? I've never seen a contract written to prohibit a provider for charging the patient for non-covered services. Not to say it's not happened, of course!
View ArticleRe: Form for pt's to be resp for known non-payable service?
Quote:We are debating whether or not this is legal because if you are contracted with a carrier, you cannot charge for anything they exclude unless they say "you can charge the patient for any amounts...
View ArticleRe: Form for pt's to be resp for known non-payable service?
Quote:Are you sure you're reading your contract correctly? I've never seen a contract written to prohibit a provider for charging the patient for non-covered services. Not to say it's not happened, of...
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