Hcr 220 Eligibility Payments and Billing Procedures

Hcr 220 Eligibility Payments and Billing Procedures - HCR...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
HCR 220 Eligibility, Payments, and Billing procedures In regards to the factors that determine patients benefits eligibility, for insured patients medical
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
insurance specialist must follow three steps. (Step 1) Verify patients eligibility for insurance benefits. In this step patients insurance form (PIF) and the patient insurance card is required. . The patient is verified for eligibility, the amount of co payment is confirmed, and whether or not the patients covered service is medically necessary under given rules. These steps are properly checked in normal visits and only skipped and checked later when the visit is an emergency. The appropriate steps that are applied when the insurance does not cover a service is to then let the patient know of their own financial responsibility. The payer of the insurance is contacted and notified of the procedures needed. A trace number is then applied to make the inquiry official. Benefit information is asked of the payer to provide a through view of the services they are insured for. All
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 3

Hcr 220 Eligibility Payments and Billing Procedures - HCR...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online