Wiki Corrected Claims

[tmerickson]

I have a senario that I would like some opinions on...

Ultrasound billed under doctor in error, needs to be billed under our on staff ultrasound tech. Claim already paid. I would send corrected claim to insurance. Some people want to just change the claim in our system, apply money and contractional as is.

Thoughts???

 

[candygirl160]

I would not as it would be a type of fraud! I would say to call the insurance company and let them know what happened, and let them know that you will send in a corrected claim. They may wait to process the corrected claim until you have refunded them the money for the first claim.

 

[JMeggett]

I would definitely contact insurance and let them know the situation. They will advise you on how to send in corrected claim.

Jenna

 

[kmayes]

I would also correct with the insurance. Sending a corrected claim with a cover letter.

 

[tmerickson]

Thank you so much!
I just wanted some support when I present this to my manager.