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Can a doctor bill for procedure they did not do but had coverage for?
Wiki User
∙ 12y ago
That would be insurance Fraud!!
Wiki User
∙ 12y ago
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What recourse do I have when a doctor sends me a bill for a procedure because the insurance company has denied coverage for what I think is a bogus rationale?
Take the Insurance company to court. The Doctor has to be paid by some one. and in the end it is you that is responsible for this.
Does medical insurance have to pay bill even if you cancel after procedure?
Yes, the insurer will pay for your care as long as you had coverage on the date of the surgery. It does not matter that in the month after the surgery, you ended your coverage.
Does Medicaid cover abortions in Ohio?
Ohio Medicaid will most likely cover this procedure as long as your doctor presents it as a necessity. They will deny the coverage if they see it as an elective procedure.
How do you make a fake medical bill?
If you are trying to play a joke on someone, you can make your own letterhead with the name of a fake doctor. The medical bill will also need a procedure and the cost of the procedure.
Can Custodial parent takes child to their doctor for treatment but is not child's doctor then bill the non custodial parent?
if the order allows it, but if it outside coverage, just tell the doctor to bill the person who sign the approval for treatment. see link below
What is the relationship between procedural coding and diagnostic coding?
the charges that a doctor will charge for a specific procedure or diagnosis, that will be on your next medical bill
How do you bill procedure 99214 with procedure 96372?
Need to bill with modifier 25
Does blue cross blue shield cover bariatric surgery under supplimentary Medicare coverage?
Any medical procedure connected to a Medicare plan will need to be proven medically necessary by the doctor. You doctor will know whether or not you can use your Medicare Supplement to pay for the surgery.
Does blue shield cover cochlear implants?
Check with your doctor to see if this is going to be a "medically necessary" procedure. This will play an important role of whether the insurance will cover the procedure or not. Once the doctor determines if it is medically necessary, then you can speak with member services of BlueCross BlueShield to discuss the coverage. The phone number for member services will be on your insurance card.
If primary insurance denies coverage and you have secondary who is responsible to pay the bill?
== == If secondary insurance denies coverage, YOU get to pay the bill. == ==
What is the relationship between medical necessity and insurance coverage?
If a procedure is not considered "medically necessary" (i.e. is considered elective), most insurance companies will not pay for the procedure, or will provide only minimal coverage
Can you bill a medicaid patient that only has emergency coverage?
Yes, for emergency coverage.
