• 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..

Billing insurance for titer required by school

M

maryek28@outlook.com

Networker
Messages
53
Location
Juneau, AK
I know that most insurances won't cover things like school physicals and pre employment exams, but are titers covered? We had a patient get Hep B titer done for school. Can we bill the patient's insurance or just bill the patient?
 
The health plan may deny the titer as a administrative/school exam related service depending on the policy's specific exclusions. However, it may be covered under the medical benefits because this is not a mandated wellness/preventive service under the ACA. The worst you can do is bill it and if the claim is denied then you bill the patient. Just be certain you are using the correct diagnosis to indicate that this test was performed for administrative purposes.
 
You must log in or register to reply here.
Top