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Hi, a british client is asking me to deliver a document for tomorrow 'eob' Am i allowed to bill the patient this, what does this mean Does anyone know what this acronym stands for
Thank you very much, macek It is taking monies and putting then in the other adjustments area on the eob It’s common for one such acronym, explanation of benefits (eob), to cause confusion among patients
Read on to learn more about eobs, as well as remittance advice (ra).
Improve your claim rejection and denial rates by learning the lingo The answer to the common question “why was my claim denied?” can almost always be improve your claim rejection and denial rates by learning eob lingo. And, when you throw another acronym into the mix, remittance advice (ra), this can heighten that confusion even more Check out the following faqs to test your eob and ra knowledge so you can face patient questions with complete confidence
Is an eob a bill Although patients often mistake an eob for a bill, an eob is not a. I’ve always been under the impression that if a primary insurance recoups and reprocesses after timely filing, we can submit a corrected claim to the secondary showing the payment changed with the latest eob from the primary My question is, the secondary is denying it stating it should have been submitted as a clean claim
I don’t think this is right and wanted to know if anyone else has.
I work for a payer, and i agree with christine, we would expect our contracted providers to only bill the patient based on what the eob/remit shows as patient liability So, if you submitted the claim to the payer and it is denied as past timely filing, assuming that the patient didn't cause you to file the claim untimely, then you can only keep any copayments that the eob/remit shows the. Review these common eob denials and the proper responses to them Details come from thomas kent, cpc, cmm, president of kent medical management in dunkirk, md
This is the simplest denial to handle, because it doesn't require you to deal with the carrier. If you have a contract with the primary insurance, don't you have to accept their approved amount for the claim if it meets your contract's fee schedule I still don't think secondary insurance should be billed if the primary insurance eob was correct and shows no patient responsibility. What am i missing here?
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