Wiki Patient Calls with insurance info after filing limit.

[Georgia@positiveresultsbilling.com]

If a patient was seen and did not present insurance and was billed for the visit, decides to call with insurance info well after the filing limit for their insurance, are they responsible to pay or do we have to write it off?

 

[randij1978]

If a patient was seen and did not present insurance and was billed for the visit, decides to call with insurance info well after the filing limit for their insurance, are they responsible to pay or do we have to write it off?

Technically the patient is responsible, but you can always try to appeal it. Did they have another insurance policy for that DOS? If so, you can show proof of filing to the prior insurance along with the EOB showing the denial. If the appeal is denied, I would send the patient a bill along with the denial. At that point, they can take it up with their insurance. It is the patient’s responsibility to update their insurance if any changes are made.