Want this question answered?
i am sure it can't not if the doctor didn't see the patient
NO, NO, NO, bad doctor!
within timely filing limit
Yes, a doctor can ask a patient for money for their bill. Patients are required to make payments for services or file with their insurance.
A doctor or other provider who accepts you as a Medicaid patient (i.e., agreed to bill Medicaid for your care) is required to accept Medicaid's amount as payment in full. (However, you might have a co-pay.) In Illinois, a provider who accepts you as a Medicaid patient cannot demand payment from you if Medicaid does not pay due to the doctor's failure to bill Medicaid timely and properly. Your State might have a similar rule.
There are three categories of medical providers. Participating providers bill Medicare and accept what Medicare pays. Non Participating providers decide on a case by case basis. If they do not participate for your service, they send in a claim and the check comes to you. It is the Medicare allowed amount minus your deductible or co-insurance. Medicare allows the provider to bill you 115% of the allowed amount. The Medicare Summary Notice with the check details all of this. Private contracting providers file a form with Medicare saying that they will not accept any payment from Medicare for any service or any patient. Once they do so, they can not rejoin for two years. However, they must have the patient sign a form that the patient agrees to receive the service an pay for it without any benefit from Medicare. I will post two links that you might find helpful. Here is hoping that you do not have to call Medicare. The people are very friendly but their hands are tied. To answer the question, no. If the doctor is not a medicare provider then medicare will not reimburse the patient or the doctor.
You doctor is not obligated to send the bill to ANY insurance company unless the agreement between the carrier and the doctor requires it. More and more doctors are trying to relieve themselves of the paperwork nightmare of dealing with insurance companies. They will accept the negotiated rate but demad it at the time of service from the patient. It is then the problem for the patient to collect from the carrier.
In Illinois, if the provider did not accept the patient as a Medicaid patient, the provider may bill the patient.
In some states, you cannot bill the patient if you accepted her/him as a Medicaid patient.
No a doctor bill would not be considered a utility bill.
AnswerYes. "Non-contracted" means there is no contract with the insurance company to prevent the doctor from billing whatever he likes.
yes. When a patient signs in with the office, the financial policy outlining all financial transactions between the patient and physician will be given to the patient to read and sign. My question is, why wouldn't the doctor be able to charge interest since a patient who takes an extended time to pay their bill is essentially using the physician's financial resources for free.