BC Advantage - 2006 Issue 3

Complexities of Medical Billing

As a medical biller or physician's office staff, we have always been taught that when a patient is seen by a physician, a claim is then sent to their insurance company, so that the claim may be paid to the provider.  If the claim is not paid, is paid to the patient, or the claim is denied, is it then your legal responsibility to appeal the claim or to file a complaint because the patient was paid?  This was the case in the past, though may not be true today, as there are many variables that take...

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