Checkpoint: Eligibility, Payment and Billing Procedures

CheckPoint: Eligibility, Payment and Billing Procedures Vanessa Merassaint HCR/220 November 1, 2012 Pamela Kerby thither ar several(prenominal) disparate chemical elements that determine a patients benefits eligibility. The cistron I would like to bring caution to is; if premiums are bring the patient must have paid on prison term and that they are up to date. The appropriate steps to make full when indemnity policy does non cover a planned do is plow the situation with the patient, making sure that they understand that they are non covered by the insurance and will have to prosecute out of pocket for the services that are needed. In simplex terms if the patients benefits have lapsed and or no payment has been made, when and if the patient needs medical perplexity they will have to pay out of pocket for those services. at that place could be several factors to why the patient has either no benefits or the procedure that needs to be d peerless is non covered. Could be the payment was late, or was told the insurance was paid when in reality it was not; this happened to my brother, in the end he fought and won it was the insurance companies error.

When selecting an insurance plan maybe the information was not clearly stated or simple just view that it couldnt happen to you. Two examples of patient charges that would have to be out of pocket are cosmetic surgery and yearbook corporeal trial runs. I understand why insurance companies would not cover cosmetic surgery, even with the simplest procedure anything could happen, its a liability issue. Not covering an annual phy sical examination is something that I do not! understand; the insurance companies I have dealt with an annual physical is covered. I see that is one for the books.If you want to get a full essay, swan it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper