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Wiki Billing patient when referral not obtained

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CatchTheWind

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My understanding (correct me if I'm wrong) is that if our office fails to obtain a required referral, we have to write off the visit; we can't bill the patient.

But what about a situation in which the patient requests to be seen right away without waiting for the referral, and states that if we don't get it, he will pay out of pocket?
 
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