Depending on where you're located, it may not be legal for the insurer to pay the patient, as this article demonstrates:http://jacksonville.com/news/metro/2...by_insurance_c
Check with your state's department of insurance for more information for your state. I'd also recommend checking the insurer's website for a disclosure regarding how out of network claims are paid. Unless you can get the insurer to reverse their payment, by citing claim instructions, state laws, or their own payment policies, you're kind of stuck collecting payment on your own. The best you can probably do at that point is turn them over to a collection agency and ruin their credit.
Hope that helps!
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join