Denials and Appeals FAQs Q: When someone completes the number of visits allowed by the insurance plan but wants to continue coming in for care, we create a cash case. Do we still have to charge the contracted rate even though coverage has ended, and we won’t be submitting? A: When a patient completes his/her…
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Explanation Of Benefits (EOB) and Electronic Remittance Advices (ERA) are formatted differently for each insurance carrier, but the information they provide is the same. Armed with this important information, we can properly post payments and zero pays, as well as assign patient responsibility. The EOB allows the financial department team to locate information about the…
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