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Need statement to reflect Pt fees BEFORE third party processes claim

Most therapy practices, and I would say most other professions, bill the copay and coinsurance since it is generally static. I do not need to wait on the third party to process it to know that this is what the patient owes. I also usually know what they need to pay if there is unmet deductible. Since there is a delay in processing by the third party, I cannot give the patient a statement with a current balance that reflects their actual fees owed. If the third party pays differently and shows the patient owing something different (which is rare) than what the pt paid, I can always adjust this. When I give a pt a statement, I need it to reflect the services rendered up until and including the date I give them the statement. By the contract, my collection of the fee for a service does not need to com AFTER the third party has processed the claim. Thanks for your consideration of this.

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  • May 1 2020
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