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accept assign or not accept assign

  1. Default accept assign or not accept assign
    Medical Coding Books
    My doc's are non-contracted trauma surgeons who are only contracted with Medicare. On the accept assign portion of the claim am I choosing NO for all other than Medicare. Is what I'm saying when I say NO that I want to be paid and full and can I balance bill the patient the difference ??? Also, by saying NO is my payment going to the patient. Any non-par billing out there to help please.

    Thanks so much

  2. #2
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    Quote Originally Posted by bill2doc View Post
    My doc's are non-contracted trauma surgeons who are only contracted with Medicare. On the accept assign portion of the claim am I choosing NO for all other than Medicare. Is what I'm saying when I say NO that I want to be paid and full and can I balance bill the patient the difference ??? Also, by saying NO is my payment going to the patient. Any non-par billing out there to help please.

    Thanks so much
    What you are saying is that your provider IS NOT contracted, so the payment will reflect however that plan pays for non-contracted services and you will be able to bill the patient for any portion not reimbursed by the insurance plan. The insurance plan may elect to send the payment to the patient since you are not contracted.
    Last edited by ajs; 12-13-2011 at 11:47 AM. Reason: add
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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