Insurance Companies and Clients

Challenge: The insurance company just sent you an explanation of benefits for a client with a refusal to pay. What do you do?

1. Send the client a bill for the complete amount.

2. Bill the client at your usual customary rate.

3. Submit an insurance appeal for the client.

4. Write the bill off.

5. Send a copy of the bills to your professional association’s reimbursement coordinator for review and possible group action.

6. Ask the client if they have a health plan at work that covers medical expenses (HSA) with pre-tax dollars, and ask them to pay the bill from their health savings account.

7. Any other suggestions?

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