The mother of a 15 year old male comes into the clinic and would like to speak with someone in the billing department to discuss a bill she received from the insurance company regarding a recent office visit. The mother claims she has a bill for :, office visit and vaccinations. The mother believes all of this should be covered under preventative care.

15 year old wellness appointment

Bloodwork: CMP, CBC, TSH, and vitamin d.

Gardisil vaccine

EKG

Answer The Following

-Each patient has an EOB question.

-First, explain what an EOB is.

-Then with the HealthShare information you have obtained I would like you to see if you can find out if these services are covered or not. (Sometimes you cannot find out coverage without directly calling the insurance company) OR if you know your own health coverage you could use that information as well. OR you can use Example of a health insurance plan. -For this exercise you do not need to actually call the insurance company but you do need to be able to include the phone number for your patient. (In reality, there will be times in clinic you will be calling the insurance company with the patient as they will need CPT codes and ICD 10 codes to complete the request.)