• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

patient responsibility

  1. Y

    Wiki Follow up on ordered testing/referrals, what is legal?

    Good morning, I am wondering if anyone can tell me if there is a LEGAL number of times a provider's office must reach out to a patient to request they obtain an ordered test and/or referral? We do have a policy in place. We reach out to the patient two weeks after the test/referral was ordered...
  2. S

    Wiki Billing with primary and secondary insurances

    Looking to verify the proper patient responsibility to bill them in the following scenario as well as the proper rationale. Primary insurance is a high deductible plan through BCBS and allows $3000.00 to the patient's deductible for a patient's surgery on the $5000.00 billed charges. We do not...
    • sharonc2222
    • Thread
    • balance billing medicare secondary out of network out-of-network patient responsibility
    • Replies: 10
    • Forum: Billing/Reimbursement
  3. MeanderingMichigander

    Wiki Timely filing when patient DID NOT update insurance

    Howdy :) A patient was originally seen about a year ago and provided no insurance information. They made a couple small payments on the 2 bills over the course of a year. Then, they called almost a full year after originally seen and, "Oh! Here's my insurance - bill it, please!" Ugh. So...
  4. K

    Wiki Carc pr-275

    I have a patient with Providence as primary and BxBs as a secondary payor and the first bxbs payment came through just fine, the patient had some copay, some deductible, and some write off. 2 months later BxBs sent me another EOB saying all of the write off amount has been changed to patient...
Top