l1ttle_0ne
Guru
We have a case where we billed Humana for some pathology services (we do the TC portion of the pathology). The pathology codes were not on our fee schedule for Humana. So they are denying a couple of services for patients. Stating that it's provider write off. Our boss is telling us to transfer the balance to the patient. However we did not have the patient sign any non-covered services forms. This is the first time I've run into this. It's my understanding that if the insurance denies it as a non-covered service you have to have had the patient sign a waiver before services were rendered to bill them. Can anyone clarify for me??