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Re: Medicare HMO question
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mychosen1
Re: Medicare HMO question
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Jun 11 07 7:33 AM
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My Recent Posts
Thanks Steve,
So basically we can bill the patient for the full amount, but my client will probably go ahead and adjust the balance, instead of upsetting the patient {and the patients doctor who referred them to the diagnostic center as well as many other patients}.
I also have other Insurance companies United Health Care & CIGNA {that we are not contracted with yet} who have hired Concentra and Multi plan to negotiate payment on all of the unpaid claims we have with them. They are paying 80% of billed charges so we have agreed to this. But it has taken several months for them to come back to pay these claims.
So here is my question, are all of the Insurance companies that we don't have contracts with going to try and negotiate a payment on each claim like UHC & CIGNA are, or will they just deny payment like Universal Health Care did.
"I didn't create this mess, I just inherited it".
Thanks
Dan
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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