it reduces the balance due.
When a patient has a credit balance on their account, a refund adjustment is typically posted. This adjustment reflects the amount overpaid by the patient, which may result from overpayments, insurance adjustments, or billing errors. The credit balance can be refunded to the patient or applied to future services, depending on the practice's policy and the patient's preference.
the patient would have to pay
A credit adjustment reduces the patient's account balance. Which means money that the patient had paid and has been acredited to their balance.
When the insured/beneficiary (patient) pays the total deductible amount out of his own pocket. A deductible is the amount for which the patient is financially responsible before an insurance policy provides payment.
deductible mean patient should pay pearticular amount to the provider, before provider start treting the patient.
In cases where the primary insurance deductible is higher than the secondary insurance deductible, you can typically collect the higher primary deductible from the patient at the time of service. However, it’s important to verify the specific policy provisions and guidelines of both insurance plans, as well as any applicable state laws regarding billing practices. Always ensure clear communication with the patient regarding their financial responsibilities to avoid confusion.
They cannot refuse "after-the-fact."
Is the patient responsible for deductible and coinsurance if primary insurance paid more than secondary would have allowed.
The total amount of all accounts that is due to a physician is simply referred to as the balance due. Care should be taken to not confuse this amount with the balance due from the patient, as opposed to the balance due from the patient as well as his or her insurance company.
When a patient account is turned over to a collection agency, an adjustment is typically posted to reflect the transfer of the account. This adjustment may involve writing off the balance as uncollectible or marking it as "sent to collections." The specific accounting entry depends on the organization's policies, but it generally reduces the accounts receivable balance and may record a corresponding expense.
ANOTHER NAME FOR THE PATIENT ACCOUNT RECORD IS THE PATIENT?
If the patient was trustworthy and I knew the patient would pay the back balance.