DIET 4475 Chapter Notes - Chapter 12: Copayment
Document Summary
What type of insurance? (medicare/ medicaid/ private/ commercial) Obtain payment of copay or billing information to bill copay. If he has not heard back, he should follow up with his insurance company. He should double check that the claim has been submitted and they are actively processing it: explain why you want to follow up on the claim. It is important to follow up on the claim because it is possible it is still being processed since it was neither accepted nor rejected. An explanation of benefits (eob) provides information regarding what portion of a medical claim was paid for by an insurance company and what portion is deemed a patient"s personal responsibility. Following an appointment, medical professionals submit claims to a patient"s respective insurance company in order to receive payment. Claim notes are also often written at the bottom of the form, providing an explanation as to why specific services may not have been covered.
