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Can A payer can cancel a patient policy or deny payment on a claim if the patient failed to disclose a preexisting condition?
Wiki User
∙ 10y ago
Under federal health reform rules, an insurer can cancel a policy only for fraud on the application. Omitting a pre-existing condition might be considered fraud, especially if the condition is significant.
The insurer could choose to continue the policy, but would have the right to deny claims for the pre-existing condition. If you had a 63-day gap in coverage, for example, the insurer could deny those claims for the first 12 months. After the 12 months ends, the insurer would have to start paying claims for all of your medical conditions.
Wiki User
∙ 10y ago
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The statement of cash flows would disclose the payment of a dividend?
nowhere on the statement
Can A payer cancel a patients policy or deny payment on a claim if the patient failed to disclose a preexisting condition?
The insurer could cancel a policy only if the patient had committed fraud on the application. This was part of the health reform law of 2010, limiting the insurer's ability to end a person's coverage. So, for example, if you had lied about being married to someone on your application for family coverage, they could cancel your policy. They can deny a claim, if it is for a service for a pre-existing condition AND you had a gap in your health coverage of at least 63 days before joining their plan. When the insurer gets a claim for an ongoing (chronic) illness like diabetes or depression in a new member's first month of coverage, they may deny the claim or notify you to send them proof of "creditable coverage." This is a form that you would request from your previous insurer. If you do not have a previous plan or you have been uninsured for more than 63 days, then they will deny the claim.
Can a orthodontist terminate a patient because of non payment?
No. He can refuse further treatment but killing the patient is not legal or recommended.
When a patient has insurance coverage for which the practice will create a claim the patient bill is usually done?
After the encounter and after the payer's payment is posted
If a patient's payment is later than permittrd under the finicaal policy of the practice maybe started?
If a patient's payment is later than permitted under the financial policy of the practice, collections procedures may be started.
Can you balance bill a Medicaid patient for out of state Medicaid?
Except for co-pays, Medicaid payment is generally considered payment in full.
Can medicare provider extend courtesy to select patients and accept medicare payment as payment in full without billing patient for coinsurance?
yes
How can you access Patient Payment Services?
Go to their website, assuming they have one. If not, try a different online payment company that handle tons of payment services located all throughout the world.
How do you ask a patient for his co payment?
"I see on your card that you have a co-payment of $25 per office visit. Will that be cash, check or credit card today?"
What is contractual adjustment?
A contractual adjustment is made by the billing department in a hospital in order to charge a patient's insurance company. The result is that the patient is not responsible for payment.
If a medical claim is denied because the provider made billing errors is the patient responsible for payment?
The patient is responsible for the cost of all medical care.
What is a down payment?
a portion of the purchase price that is paid as a condition of getting a loan. In other words, it is the first payment in installment buying.
