Handling out of Network Payment for services

  • Handling out of Network Payment for services

    Posted by Matt Pitts on January 13, 2025 at 4:21 pm

    We are starting the second phase of going completely out of Network. The first two we dropped(after a recall cycle of discussing it with our patients), were United Concordia and Cigna. The next ones to go are Delta and Metlife. UC and Cigna still reimburse us directly. How are you recommending handling patient’s for whom the insurance checks will be sent to them? Is there an effective way to get a down payment and then collect the balance through EFT or Credit Card after we have verified they have received the check for services? Do you guys have forms you could share that you use as a contract for these patients?

    lnelson replied 1 month ago 2 Members · 1 Reply
  • 1 Reply
  • lnelson

    Member
    January 20, 2025 at 12:17 pm

    thanks for your question. I honestly believe that you should collect in full the amount of the appointment and then let the check go to them. One of the benefits of going out of network, is that you don’t have to wait for the check any longer and that you get paid for what you do. I think that submitting their insurance claim for them is a great service and then letting them know that they can follow up with their insurance if they don’t receive a check. You can even print out the claim form for them so they have a copy. I hope this helps

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