Question
After paying an insurance copay at the time of service, a patient receives a subsequent statement for a balance due from their provider. This would
After paying an insurance copay at the time of service, a patient receives a subsequent statement for a balance due from their provider. This would be correct under the following scenario:
A. The patient had not met their deductible and was balance billed.
B. It is inappropriate for the patient to be balanced billed under any circumstance
C. The provider performed non-covered services, unaware they were not covered, and did not notify the patient.
D. The provider is a participating with the insurance company and billed the patient for the difference between the insurance company's allowable amount and payment.
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The correct answer is D The provider is a participating with the insurance company and billed the pa...Get Instant Access to Expert-Tailored Solutions
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Get StartedRecommended Textbook for
Dynamic Business Law
Authors: Nancy Kubasek, M. Neil Browne, Daniel Herron, Lucien Dhooge, Linda Barkacs
6th Edition
1260733971, 978-1260733976
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