Practice Management Alert
Getting Paid When Insurer Reimburses Patient
Illinois Subscriber
Answer: Sometimes, there is a contract between the insurance company and the patient, and the money will never come to the practice, regardless of the benefit assignment on file. In that case, its the patients responsibility to ensure you are paid. Inform the insurer that you have a benefit assignment on record and press him or her to persuade the patient to pay. Point out that the patient-insurer contract is violated when patients shirk their financial responsibility. By not helping you get paid, the company is assisting the patient in defrauding you of your services. You could also inform the patient that failure to pay violates the patients contract with the insurer, and the coverage could be lost. If the patient persists in refusing to pay, turn the claim over to your collection agency.
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