jhendrix08
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Hello....
Looking for some advice on how to handle a situation. We have a patient that has been seeing us as private pay; she stated she was uninsured. We found out today that she did indeed have insurance (one that we do take) and that she never notified us...because of her history, we think it's likely that she didn't tell us because she thought we didn't take the plan and she wanted to continue seeing our physician.
My question is, for the three visits where the patient paid cash we are now outside of the filing timeframe for billing her insurance so we would not be able to get reimbursed. Do we still have to reimburse her? If not, do we have her sign something stating that we were made aware that she has insurance and that she will not be reimbursed for those past visits?
Thanks for the help. I just want to be sure this doesn't come back to bite us.
Looking for some advice on how to handle a situation. We have a patient that has been seeing us as private pay; she stated she was uninsured. We found out today that she did indeed have insurance (one that we do take) and that she never notified us...because of her history, we think it's likely that she didn't tell us because she thought we didn't take the plan and she wanted to continue seeing our physician.
My question is, for the three visits where the patient paid cash we are now outside of the filing timeframe for billing her insurance so we would not be able to get reimbursed. Do we still have to reimburse her? If not, do we have her sign something stating that we were made aware that she has insurance and that she will not be reimbursed for those past visits?
Thanks for the help. I just want to be sure this doesn't come back to bite us.