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To: Oral Roberts who wrote (4563)4/25/2006 11:38:22 AM
From: PatiBob  Read Replies (1) | Respond to of 14758
 
Procedure code is off by one number or the electronic clearing house drops a number or letter, it gets kicked back. You have a certain amount of time from the date of service. Timely filing it's called. It can very by insurance company. There are many single practice physicians who have either retired early or grouped in with other physicians because the paperwork in dealing with insurance companies it a full time 24/7 job. This doesn't even take in Medicaid and Medicare. That's a whole different ball game.



To: Oral Roberts who wrote (4563)4/25/2006 2:18:00 PM
From: Ish  Read Replies (1) | Respond to of 14758
 
<<I have an uncle who has no insurance but pays cash for his care. He negotiated with the Dr on his shoulder surgery and the guy knocked about 30% of the normal bill. It's probably worth that or more to get your money right away and not have to deal with the insurance companies.>>

That 30% off is probably what the dr. would have settled for if the insurance company was paying. ie. say the operation costs $10,000, if insurance is covering it the dr. charges them $7,000 and the $3,000 is listed on the bill as PP or preferred provider.