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Family Payment Reporting

  1. Default Family Payment Reporting
    Medical Coding Books
    A client made a payment towards their out of pocket, how do you report this to the insurance company? On the CMS-1500/UB04? Or can I submit a letter to the carrier? I've never had to do this before. I thought the carrier kept track of the OOP, Deductibles & Co-pays (!?) This facility does
    things a little different. Any input is appreciated Thank You

  2. #2
    some software programs allow you to set the parameters to print that information, you may want to check with your software vendor.

    Personally, I have never reported it to a carrier. Carriers do keep track of the OOP and deductables but not to the extent of making sure they were paid and really do not have any interest as to whether or not the patient paid you, thats between the provider and the patient.

  3. #3
    Madison Area Chapter in Madison WI
    I agree. The carrier processes the claims and keep track on thier end and the patient payment does not impact the carrier. So thankfully, you don't need to do anything.
    Happy Coding, Claudia

    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email] - website

  4. #4
    thanks Cinnamon..and here I thought the carriers ignored those fields all these years

  5. Default
    OMG I knew I wasn't krazy. After 18yrs of reimbursement/ billing/coding experience, I am certain of some things!! (I don't know where these people (my job) get their Ideas from , not me because they are not listening to me) I know it is the insurance respoinsibility to keep track & the patients to make sure it is credited appropriately. I guess it doesn't hurt to report payment to the carrier as a courtesy to the patient/family/client. Thanks SOOOOO much for your response, & reassurance that I'm not that confused.

  6. Default
    Thank you for your input. Is it OK if I print your response & use it for future refernce?

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