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Insurance Fruad

Jenny Posted Fri 20th of March, 2015 18:40:46 PM

My provider is NOT wanting me to submit a charge for a Department of Transportation(DOT) physical exam. I told him that since the patient has insurance that we are contracted is to my knowledge that we are required to submit under contract. He doesn't believe me, and I feel really uneasy about this. Can you help share some info regarding this...he is a "Have to be on paper type of person" before he'll believe anything/anyone... Who is correct? I don't look good in orange prison clothes...

SuperCoder Answered Mon 23rd of March, 2015 03:04:24 AM

As per the information provided by you, your patient is contracted with the insurance company, there should be documentation in the insurance policy (contract papers) that you have, where it is mentioned that the patient has to submit a charge to department of Transportation(DOT) for physical exam. Kindly verify your documents and see if you can find it documented. You can share the same with the provider. If you do not find any documentation, you can get in touch with your insurance company to provide you a documented proof of the same.

SuperCoder Answered Mon 23rd of March, 2015 03:04:25 AM

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