Hello Fellow Members,

This is a question that involves the issue of "Double Billing."

When a patient's payment has posted to your A/R bringing their account to a zero balance, how would you handle the following scenario:

After the zero balance the patient's provider contacts the partnering provider to provide new information in order to have their insurance company reconsider the claim, would you then refund the patient while subsequently refiling a "Corrected Claim" or would you still hold the patient's payment until after you have heard back from the carrier as a result of the "New Information" that was sent back to them?

Please advise, any insight would be appreciated.

Thank You In Advance,