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Good day all,
Just wanted to get your input on how you would usually handle a situation such as this: patient presents with Tricare, insurance was verified and appointment occurred. Upon billing, we received a denial and there's a DOB mismatch. The DOB in our system is correct, and it's incorrect in the Tricare system for the patient. Patient states they've been trying to fix it for years with no success.. Would you bill with the other DOB? Or just send the patient the bill and have them figure it out? It feels like a very thin line between willing to work with the patient and the "tough luck, get it fixed or pay up". Thoughts?
Just wanted to get your input on how you would usually handle a situation such as this: patient presents with Tricare, insurance was verified and appointment occurred. Upon billing, we received a denial and there's a DOB mismatch. The DOB in our system is correct, and it's incorrect in the Tricare system for the patient. Patient states they've been trying to fix it for years with no success.. Would you bill with the other DOB? Or just send the patient the bill and have them figure it out? It feels like a very thin line between willing to work with the patient and the "tough luck, get it fixed or pay up". Thoughts?
. Obviously if any of the patient's other providers got paid by Tricare, they submitted with other DOB. I would also encourage the patient to follow up with the issue and stress how important it is. If the patient doesn't want to sign with the other DOB, then I would bill the patient.