Provider did not bill insurance are you liable?
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. Read More
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. Read More
Yes, a medical provider will bill you for the portion of your bill that isn't covered by your insurance company. Normally, you pay this before you leave the office. Read More
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 Read More
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. Read More
No, they shouldn't be billing you for the provider discount if the hospital is contracted with the health insurance plan. Read More
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… Read More
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. Read More
You can usually buy phone insurance from your service provider for a monthly fee added to your phone bill. Read More
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… Read More
If you're at fault it you, or your insurance that'll have to pick up the bill. Read More
When insurance pays provider the allowed amount can provider bill patient for the discounted amount?
Only if the physician is a non-participating provider who does not accept assignment. The physician can bill the patient the difference between the actual charge and the allowable charge. This is called "balance billing". Read More
1 year Read More
If you only carry liability insurance, that is all that the insurance company is liable for in this state. Read More
If you die without health insurance who pays the hospital bill Is the surviving spouse liable Can a lien be placed on life insurance proceeds?
That is the purpose of Life Insurance, to pay those bills and the cost of a funeral. Read More
If you have medicaid or other health insurance can a medical provider file a lien against the bill instead of billing Medicaid or the health carrier?
A provider is not required to accept Medicaid or private insurance. However, if the provider indicated to you that s/he was doing so in your case, there's at least an ethical problem. In Illinois, a provider who accepts a patient as Medicaid cannot bill the patient if Medicaid fails to pay due to the provider's negligence in billing. Read More
Can a hospital send a bill to collections before the insurance company the hospital is a preferred provider for settles with the hospital?
Yes the hospital may send you to collections before your insurance settles on an account. In most states the hospital is not actually required to even file your insurance, however, they do as a courtesy. Even when the hospital does file your insurance if they make a mistake and your claim is denied based on this mistake they can not be held liable and are not required to fix the problem. It is now the… Read More
No, if they have information of a third or first party carrier who is liable for accident related costs, they can make a claim directly to that carrier. Read More
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. Read More
Is a provider RESTRICTED BY LAW FROM BILLING A PATIENT IF THE PATIENTS INSURANCE CARRIER DEIES THE CLAIM PER timely filing agreement?
Yes per the provider contract, they are required to file claims to the insurance carrier within specifiec time periods. The provider can NOT bill the patient if they have not done so. Read More
If the driver of a car is liable for an accident who is liable the owner of the car or the driver's insurance company?
The owner of the car is liable for the accident itself and the damage. However, the insurance company might have to pay for it, depending on the owners insurance cover. Read More
The driver who hit the pedestrian is liable, not their insurance company. The drivers insurance company will normally be responsible for payment of valid claims up to the policy limits for which the their insured driver is found liable. Read More
No, a co signor would not be liable. A co-buyer would be liable. Read More
Insurance varies from provider to provider. Your state and local area charges its own price for bike insurance. You should contact your insurance provider to find out how much it costs for you to carry this type of insurance. Read More
Where is the provider name and number found on my insurance card Read More
Who would be liable if you were driving a friend's vehicle and got into an accident and they did not have insurance?
The driver's insurance would then be considered "secondary," meaning if the owner of the auto didn't have insurance, then if the person driving the car had insurance, they would be liable. Read More
"Endsleigh Insurance is an insurance provider that is probably not as reliable as some of the bigger name insurance providers. As far as insurance goes, it is better to go with a known provider." Read More
If someone causes damages to your property, they are liable. This means, however that you have to deal with their insurance company directly, rather then your insurance company doing it for you. Read More
There are many ways to find a business insurance provider. Start your search by contacting The National Association of Insurance Commissioners. They can provide you with a one stop solution to finding a provider. Read More
Can a provider bill the patient though he is contracted with local blue cross if patient has an out of state plan?
Providers who are not "in network" for the particular version of Blue Cross cannot be sure of being reimbursed for treatment they provide. Thus, they must bill the patient, who then takes on the responsibility of dealing with the insurance. Most providers will assist with this, if asked. This is an issue with the insurance company, not with the provider. Read More
The owner of the vehicle please the people on the insurance policy are liable. Read More
You can get these from practically every insurance provider. Ask your current insurance provider about this and they will give you more information about it. Have a good day! Read More
You are liable to pay for the damages on your property because of your lack of insurance. Read More
Pretty much yes, If your liable for the damage then you have to pay for those damages. If you'd have had your car insurance in place at the time, it would have paid the bill for you though. Good luck.. Read More
If a tree in my backyard falls and does damage to neighbors privacy fence is my HO insurance liable for all costs or is his?
No, His insurance will cover his fence. Your home insurance is specific to your property and no one is liable for an act of nature, Read More
The deductible is the amount of money that you will need to pay out of your pocket before the insurance company will pay for the surgery. Once you have proof of paying the deductible, then the provider will bill the insurance company, and they in turn will pay the provider according to how the policy states it will pay. Check your policy to see if it's an "80/20" plan or something different. An 80/20 plan… Read More
If a health care provider does not accept assignment, it means that you must pay the health care provider. Then you submit their bill to your health insurer, and your health insurer reimburses you according to your contact with your insurer. The health care provider does not get involved in billing insurance. Read More
howdo i find the insurance provider for a person in was in an accident with n now can not get in contact with Read More
The person or company who provided the equipment used would be responsible. If the directions for use of the equipment were not legible or understandable the provider of the equipment would be liable. If the accidental damage occurred on a road, the driver would be responsible unless the road was not maintained or the vehicle itself was faulty. The car manufacturer would be liable for damages. If the weather was to blame, insurance would have… Read More
You are no longer obligated to pay the debt - at this point the hospital has certainly written off the debt - If you had insurance and they failed to bill them - you are in this case not obligated as well - the provider has about 18 months to submit the bill to the correct insurance - if they fail to do so- You are not obligated to pay the bill Read More
Do Non-custodial parents have to give custodial insurance card or can the non-custodial parent send the bill in to insurance themselfs.?
You don't have to give it to the custodial parent. Provide it directly to the health care provider, or call them and tell them the information on the card. The health care provider will take care of sending the bills to the health insurance company for you. Read More
The allowed amount is the amount that the insurer will pay for particular service. In the context of health insurance, for example, it is the amount that the insurer will pay for each covered procedure. The allowed amount is usually the amount the insurance provider deems the services received to be worth. This amount can also be set by provider contracts with the insurer. These are contracts where, for instance, an insurance company agrees to… Read More
Private medical insurance is medical insurance that is purchased directly through a provider and not through the state. For example Blue Cross Blue Shield is a private medical insurance provider. Read More
This depends on the insurance provider. Some cover only 25% of specific medical treatments, others could cover as much as 100%. Generally speaking most insurance providers cover 80% of a regular (preventative care) doctor visit or require a co-pay. Check the policy information before you purchase insurance. Alternatively, if you already have insurance, contact your provider and ask what is covered. Read More
It is possible. Some providers will make the distinction between accepting an insurance payment and accepting it as payment in full. It is called balance billing. Read More
When a primary insurance payer pays 0 on a 1000 bill and a secondary pays 700 with a 700 contracted amount do you have to pay the difference 300?
With out a doubt...yes. Unless your dentist is a contracted provider through your insurance company, in that case they might have to adjust your account to what the contracted (allowed) fee is per the insurance company. If they are not a contracted provider they don't have to adjust one dime! Read More
If the tenant damages the property he is liable for such damages. The Landlord may or may not have his own insurance for this purpose but the tenant is liable. If the Tenant has his own insurance (Renter's Insurance) then the Tenant may file a claim and damages will be covered by that insurance. Read More
What notification is sent from the insurance carrier to the patient and the provider after an insurance claim has been processed?
The Insured Person will receive an EOB (Explanation of Benefits) from the insurance company which explains the payment by the insurance company, the allowed charge based on contract rates with the provider, and the remaining amount if any that is due from the patient to the provider. Read More
No. If the hospital has a contract with the insurance company, they will take care of filing the claim. If not, they will bill you and you will have to get reimbursement from the insurance company. Also, if it is a contracting provider, they have agreed to a total amount to be charged for various procedures and if the bill exceeds that amount they will write off the remainder. If they are not contracting, the… Read More