SCCL5558
Guest
There is a debate in our office and I am hoping someone could shed some light for us.
We had a patient come in for a procedure and we hadn't received authorization from the insurance (Blue Shield). Patient said that he didn't want to wait for us to obtain the authorization and would pay out of pocket. Payment was collected from the patient and the procedure was performed. Because we are contracted with the insurance, do we have to bill the insurance or can we just accept what the patient paid?
We had a patient come in for a procedure and we hadn't received authorization from the insurance (Blue Shield). Patient said that he didn't want to wait for us to obtain the authorization and would pay out of pocket. Payment was collected from the patient and the procedure was performed. Because we are contracted with the insurance, do we have to bill the insurance or can we just accept what the patient paid?