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Which is the amount for which the patient is financially responsible before an insurance policy provides payment?
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How is deductible met?
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.
Who is responsible for paying medical bill's the patient or the person under who's insurance they are covered?
patient
If Primary insurance paid more thatsecondary would allow. Is patient responsible for deductible and coinsurance?
Is the patient responsible for deductible and coinsurance if primary insurance paid more than secondary would have allowed.
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
What does medical receivables refer to?
Medical account receivables refers to the department that is responsible for collecting payments from the patient's insurance provider, without this department, the patient would have to pay the bills and then get reimbursements from their insurance company.
What is contractual adjustment?
A contractual adjustment is made by the billing department in a hospital in order to charge a patient's insurance company. The result is that the patient is not responsible for payment.
What federal law provides establishment of state-run insurance exchanges?
Patient Protection and Affordable Care Act
What does the term transfer from insurance mean on a medical bill?
While waiting for your insurance to process your claim, it is listed in our billing software as insurance responsibility. Once we have received the payment and/or eob (explanation of benefits) from the insurance, the amount due from the patient is then transferred in our system to the patients responsibility. We are literally transferring the responsible party from the insurance to the patient.
Can a dentist charge a patient after they have already accepted a co pay and later finding that the insurance will not cover the procedure?
It depends on what the agreement was between the patient and the dentist prior to the procedure. When you first came to the office, you filled out and signed a lot of paperwork. If you signed an agreement that you would be financially responsible for any fees not paid by the insurance, then you are on the hook for the balance. "I thought someone else (the insurance company) was going to pay for my dental work," will not stand up in court, and you run the risk of hurting your credit if the dentist obtains a judgment against you.
Does co-insurance refers to a fixed fee that must be paid by the patient at time of office visit?
No; this is a copayment (or "copay"). A co-insurance is a percentage that the insured is responsible for after meeting their deductible.
If a health care provider accepts Indiana Comprehensive Health Insurance it cannot bill the patient correct?
After the claim is processed the patient will be responsible for any coinsurance, deductible; and any of the insurance companies non-covered services that were rendered. Hope this helps! Evan
What does it mean for a patient to have dual insurance coverage?
This refers to the case in which a patient is insured by more than one insurance plan. For example, a Medicare patient is generally covered for 80% of charges for a physician visit. In this case , he or she would usually be responsible for the remaining 20% of charges. However, if he or she has dual insurance coverage and is also covered by a supplemental plan. Medicare plus, this secondary plan would generally pay the amount not covered by the patient's primary insurance plan, Medicare.
