Billing 101 for patients
Have you ever gotten a bill from the hospital or doctor and it doesn’t match your EOB from your insurance company? Don’t always blame your doctor. There are a number of different reasons this can happen. Bills are often sent to you automatically by a company’s billing software. Sometimes it is a true error. Sometimes it is because your provider is not in network with your insurance carrier. Let’s do a little background on how the bills come to be from the billing side. Most billing companies use some sort of billing software. Once they enter your information and insurance information (demographics) they will enter the charges and bill your insurance (file a claim). Some insurance companies pay very quickly, especially if the claim goes to them electronically. Other insurance companies are slow at paying or don’t pay at all. Most billing software has parameters are setup where if a claim isn’t paid within a certain amount of time they will rebelle...