Daryl Posted Wed 16th of February, 2011 20:57:07 PM
In Florida auto insurances pay 80% of the allowable charges and makes the other 20% of the charges patient responsibility. Should you bill the remanding 20% balance to the patient's health insurance or bill the patient?
SuperCoder Answered Thu 17th of February, 2011 08:31:09 AM
What is the EOB statement regarding the balance amount
Medical Answered Thu 17th of February, 2011 15:56:36 PM
Yes, you may bill the patients health insurance for the 20% by paper. Be sure to attached a copy of the Auto insurance EOB's to your claims form. Make sure the claim form matches your Auto insurance EOB/EOR. The claim form has to show that its related to an auto accident and that your billing it as a secondary insurance.
Be aware of the fact that depending on the insurance they may not pay you the full 20% owed if the allowed amount is higher than their fee schedule.