Wiki Billing Insurance

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LeaHarris

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What is the requirement to bill a patient's insurance if they do not present it at the time of service or even within 6 months of the visit date? We have had a couple cases in which patients presented insurance cards over 6 months after their initial visit. In both cases, the insurance required claims be submitted within 120 from the date of service, so if we bill now the claims will deny for timely filing. Are we required to still bill insurance and make the appropriate insurance adjustments? We are an FQHC in Oregon.

Thanks,

Lea
 
As long as you show good faith effort to obtain the information from the patient, then you can balance bill the patient until they finally notify the office with the information. If they are past timely filing, you may try to appeal with the proof of the notes from your previous attempts that may be enough to support your case.
 
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