maryt310
New
Hi,
I have a patient who insisted he did not have health insurance. Still, the claim was workers' compensation, we verified the claim and was open, so we did not have to have the patient sign an ABN. The workers' comp denied, then the member told us yes, he does have insurance. Still, he would have needed a precert for the MRI. Do we have to submit this claim to the health insurance? We know it will be denied for no authorization. or can we just bill the member
thanks
I have a patient who insisted he did not have health insurance. Still, the claim was workers' compensation, we verified the claim and was open, so we did not have to have the patient sign an ABN. The workers' comp denied, then the member told us yes, he does have insurance. Still, he would have needed a precert for the MRI. Do we have to submit this claim to the health insurance? We know it will be denied for no authorization. or can we just bill the member
thanks