Asti Winters
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I know that this is not direct coding question, but I am curious if anyone is familiar with Georgia's policy on balance billing for non-government payors, and non networked providers. I am curious to know if other providers are balance billing for amounts that the payer is considering to be aboove the maximum allowable amount?
Example: Patient is serviced by a non-par provider and charged $26.00
Cigna allows $17.52 but applies to deductible and adjusts $8.48 as over max. allowable
Cigna considered pt. responsibility to be $17.52. Do you bill the patient the $8.48 as well?
Your thoughts.
Example: Patient is serviced by a non-par provider and charged $26.00
Cigna allows $17.52 but applies to deductible and adjusts $8.48 as over max. allowable
Cigna considered pt. responsibility to be $17.52. Do you bill the patient the $8.48 as well?
Your thoughts.