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Q: How long may a medical provider take to submit a bill to your insurance company in Illinois?
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Can a medical provider bill the patient the difference insurance company pays?

No, they shouldn't be billing you for the provider discount if the hospital is contracted with the health insurance plan.


Why is insurance billing important to the medical office?

So the healthcare provider can be reimbursed his contractual amount from the insurance company for his services.


What does 'out of network medical insurance' mean to the provider?

An "out of network"medical provider will not receive payment for services if not pre-authorized by a medical insurance company. It also requires the provider to agree to accept the pay scale if authorized,except in Florida where state law requires insurance companies to pay the providers fees in an emergency.


Are you responsible for medical bills if the Doctor said they were a provider on your insurance but are not?

Yes you are. It was up to you to make sure that they were a provider. Each insurance company has a book listing providers or you could have called the company to make sure.


What is private medical insurance?

Private medical insurance is medical insurance that is purchased directly through a provider and not through the state. For example Blue Cross Blue Shield is a private medical insurance provider.


What kind of life insurance does the company Aetna sell?

Aetna is a medical insurance provider that covers medical visits, hospital care, and pharmaceuticals. Aetna is an American company based in the city of Hartford, Connecticut.


What is private insurance?

Private medical insurance is medical insurance that is purchased directly through a provider and not through the state. For example Blue Cross Blue Shield is a private medical insurance provider.


Will my insurance cover medical weight loss programs?

To find out if your insurance will cover a medical weight loss company you need to look over your insurance coverage. Every insurance provider is different and may or may not cover it.


Who reimburse your health insurance provider that paid for medical bills if you received a settlement from your auto insurance you or auto insurance?

The insurance company would pay them directly to make sure they are paid.


In an auto accident in California do you bill your auto insurance as the primary insurance or your health insurance?

If you have both medical insurance and auto insurance, the primary company billed will depend on the situation. If your injuries and medical costs were caused by an auto accident and you carry Medical Payments coverage, you will bill your auto insurance provider. If you do not carry Med Pay insurance coverage, as it is optional in the state of California, the circumstances will depend on who is deemed at fault for the accident. If the other party is at fault, you will bill their insurance company and will advise your claims adjuster as well. If you are deemed at fault and do not carry Med Pay, the only insurance you can bill is your medical insurance provider. Be sure your medical insurance provider does not exclude injuries caused in an automobile accident before approving chiropractic care.


What does medical receivables refer to?

Medical account receivables refers to the department that is responsible for collecting payments from the patient's insurance provider, without this department, the patient would have to pay the bills and then get reimbursements from their insurance company.


Is there a deadline for billing an insured for services denied by an insurance company?

Yes. If the medical provider wants to challenge the denial then the medical provider must submit his request for reconsideration within a certain time limit. The bill-er would have to contact the insurance company to find out when the time limit ends and if the denied claim can be re-billed with special documentation.