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What else can I help you with?
In a health care facility who is responsible for processing accounts receivable billing third-party payers and verifying insurance coverage?
C - Patient accounts deprtment staff
Can medical providers decide to refuse to accept health insurance benefits after benefits were applied to a patient's account?
They cannot refuse "after-the-fact."
If a patient has Medicaid coverage benefits and other health insurance coverage Medicaid would be primary or secondary?
Secondary.
When signing an Assignment of Benefits statement a patient is?
giving permission to the insurance carrier to pay the physician or dentist directly
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.
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.
What is an explanation of benefits and how does it relate to a bill?
An Explanation of Benefits (EOB) is a document sent by a health insurance company to explain the costs and payments related to a medical service. It shows what the insurance company will cover and what the patient is responsible for paying. The EOB helps the patient understand the charges on their medical bill and how much they need to pay.
Which health insurance term means that the patient or insured has authorized the payer to reimburse the provider directly?
assigment of benefits
What are the benefits of having Liberty health insurance?
Some benefits of having Liberty health insurance are: $ 0 plan premium for prescription plan coverage, $0 Copay for in patient hospital services, primary office care visits, routine eye exam, to name a few.
What is the protocol for verifying patient identity at the doctor's office, specifically in terms of the required photo ID?
The protocol for verifying patient identity at the doctor's office typically involves presenting a government-issued photo ID, such as a driver's license or passport. This helps ensure that the correct patient is receiving care and helps prevent medical errors.
How long do medical offices need to keep insurance EOB's?
The length of time that doctor's offices need to keep records varies by state. 5 years is a common requirement.Explanations of benefits (EOB's) are sent by the insurance companies to the patient, not to the doctor's office.4/11/13- Actually, insurance companies send EOB's to both entities, patient and doctors.
What is RxBIN on insurance card?
RxBIN, or Pharmacy Benefit Identification Number, is a unique identifier found on health insurance cards that helps pharmacies process prescription drug claims. It is used to route the claim to the correct insurance company and ensure that the patient receives the appropriate benefits for their medications. This number is crucial for coordinating benefits and ensuring accurate billing at the pharmacy.
