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Wiki OON Patient responsibility
- Thread starter harts2976
- Start date
KN
Guest
Oon
I don't believe you can collect co-payments when you are not participating with the plan. Co-payments are normally only for participating providers and since you are out of network they would not apply. You will need to contact the plan for information on the out of network deduct. and if they apply and confirm with them on the co-payment issue. Hope this helps.
I don't believe you can collect co-payments when you are not participating with the plan. Co-payments are normally only for participating providers and since you are out of network they would not apply. You will need to contact the plan for information on the out of network deduct. and if they apply and confirm with them on the co-payment issue. Hope this helps.
Leenahz
Guru
Hi harts,
Several years ago when I was the front desk manager at a PCP office we were instructed copays could be accepted "as a courtesy" with OON insurance; however, this was affecting our revenue negatively. This office policy was changed. It's best to collect applicable payment in full at TOS. As far as your right on what to collect or not, I believe it's management's decision, but I would refer to your provider contract.
Lena