DEDUCTABLE

DEDUCTIBLE & MAXIMUM BENEFITS MET –

DEDUCTIBLE – PT ONLY HAS ONE INSURANCE LISTED IN OUR SYSTEM

Cld ----- @ ------- , spoke with -------- said claim was processed on ------ and applied whole allowed amount of $----- to patient’s deductible. Inquired with rep, if this was applied to in-network / out of network deductible. Rep said this was applied to in-network deductible and deductible for the CL year is $-------. Claim# --------. Posted the deductible and transferred balance to patient.

NOTE – PLEASE TAKE HELP OF PAYMENT POSTERS OR RAJESH/SHAN/PRAKASH IF YOU DON’T KNOW HOW TO POST DEDUCTIBLE AND BILL THE PT.

IF PATIENT HAS SECONDARY INSURANCE, PLEASE REQUEST THE EOB IS IT IS MORE THAN 30 DAYS FROM PROCESSED DATE. CHECK WITH PRAVEEN / RAJ AS TO HOW TO ADDRESS THEM.

MAXIMUM BENEFITS MET – PT ONLY HAS ONE INSURANCE LISTED IN OUR SYSTEM

Cld ----- @ ------- , spoke with -------- said claim was denied on ------ stating maximum benefits met. Inquired with rep, if this was a result of dollar value or number of visits exceed per year. Rep said this was due to dollar value which is $------ / visit which is ----- visits. Claim# --------. Transferred balance to patient.

NOTE – PLEASE TAKE HELP OF PAYMENT POSTERS OR RAJESH/SHAN/PRAKASH IF YOU DON’T KNOW HOW TO BILL THE PT.

IF PATIENT HAS SECONDARY INSURANCE, PLEASE REQUEST THE EOB IS IT IS MORE THAN 30 DAYS FROM PROCESSED DATE. CHECK WITH PRAVEEN / RAJ AS TO HOW TO ADDRESS THEM.