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How much is a patient liable to pay for surgical procedures?
You would have to look at the summary page of your policy. Whatever the insurance company says you have to pay.... or if the provider is not contracted, whatever they want to bill you.
What happens if doctors dont send bill to insurance in time allowed?
If the provider exceeds timely filing limits with the insurance carrier the provider cannot bill the patient. The provider must have a participating contract with the insurance carrier also.
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.
Does a provider have to bill secondary insurance even if the patient prefers to pay out of pocket?
If the provider is out of network or not contracted with the secondary insurance, they do no have to bill the secondary and the patient is responsible for the balance (if any) owing
Can an In Network provider offer a discounted Self Pay package to a patient as an alternative if they are contracted with their insurance company?
In most cases the provider can not. The provider is obligated to bill the insurance. The reason is such transactions can lead to insurance fraud.
What is called bill sent from the provider's office to the insurance company?
A claim
What do you do if insurance payment is denied because service not pre-approved?
This will depend on your insurance carrier and your provider. I would suggest calling your insurance carrier to ask for help. In general, if your provider is out of network, you will need to appeal the denial with the insurance carrier and provide details about why you didn't call to do the pre-approval. If your provider is in network, they usually cannot bill you if they fail to do a pre-approval. (check with your insurance carrier to verify this) In that case I would contact the provider and tell them they can't bill you for it. If they insist they can, contact your insurance carrier and ask them to send a letter to the provider stating they cannot bill you for the service due to their failure to pre-approve it.
Where to get iPhone insurance?
You can usually buy phone insurance from your service provider for a monthly fee added to your phone bill.
Who is liable for medical bills if you were at fault and injured?
If you're at fault it you, or your insurance that'll have to pick up the bill.
When involved in a multi car accident do all insurance company's need to pay you?
Not unless there are unusual circumstances. Generally the insurance provider of the person who is deemed to have been responsible for the accident is liable.
Can you pre-bill medical insurance to see how much will be paid for services?
No - If you are a provider/provider's office you're looking for a fee schedule or the contractual payment amount for the specific procedure. If you are a patient the best you can look for is the CPT the provider will bill and how much the provider charges for it.
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.
