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Can your doctor bill you before submitting a claim to your secondary insurance?

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2005-10-18 15:02:49
2005-10-18 15:02:49

Yes. Your doctor is not required to file to your secondary insurance.

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Here's a basic example of how secondary health insurance works. You go to the doctor, he charges you $100 for the visit. Your primary insurance pays him $50 and disallows $10. The remainder of the bill, $40, then either comes to you to pay or to a secondary insurance. In most cases the secondary will pay most, if not all of the $40.

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Sure, but the doctor will expect you to pay the bill, probably before you leave the office. Although, if you explain that you don't have insurance, they might discount their services a bit.

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It really depends on the doctor, the insurance coverage, your deductable, your insurance provider, and the reason and result of your doctor visit.

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It can be your primary doctor or a doctor that the life insurance company chooses.

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Physician practices are not required to submit insurance claim forms, but they generally do it as a service to the patient and to ensure proper payment.

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The doctor bills insurance for your office visit. Insurance will pay the doctor their contracted rate and the rest is written off. if you are billed for charges after the insurance paid, call your insurance company.

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Some do and some do not. You have to check with each individual doctor.

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Ask your doctor if he is part of the new insurance network that you are joining.

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It is a good idea to confirm your data with a secondary source.

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The somewhat cynical answer is "because he wants to estimate how long your insurance companies are going to argue about which of them should pay before he actually gets paid."

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You must visit your primary care physician before seeing any other doctor for your tapeworm. Then, if it is beyond your primary doctor's ability to care for it, they will refer you to a doctor that accepts your insurance.

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Yes, as of March 2014, MetLife Term Insurance does require a physical from a doctor.

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I have been a medical biller for over 10 years. It is always whoever is going to the doctor that one's insurance will pay. So, the husband goes to the doctor it is his insurance that would be the primary insurance and the wife's insurance could then be billed for the balance, i.e. copay, deductible, etc.

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Typically, you find a doctor who accepts assignment from your insurance company by contacting your insurance company for a list of participating providers.

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I was terminated on June 2011. I have Fibromyalgia I have not seen a doctor since 2011 because i have no health insurance. Can I still claim state disability if my future doctor sighs my paperwork?

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Unless you have an emergency, you must enquire ahead of time, remind you Doctor before they make referrals, and if pertinent, provide your Doctor with a Formulary of covered medications, tests and therapies for your plan.

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Call your insurance company. Explain your situation to them, and how you have tried every other option before now. Call your doctor and get a referal to show that he or she backs you up in this decision.

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It is important fo a doctor to have malpractice insurance in order tp prepare for the day when he is hit by a lawsuit alleging negligence or malpractice.

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