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About Tricia
Expertise
Has your medical insurance company denied your claim and refuses to pay? Have
you received a pre-authorization and still your insurance company
refuses to pay? How can you get your insurance company to reverse a
denied claim? How do you get a provider to waive your copayment if you
are financially unable to pay? Can a provider sue you for a unpaid bill and
will they? Can a provider send me to a collection agency for a medical bill?
If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience
In the medical field for over 20 years spending majority of time in the collections aspect.
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You are here: Experts > Health/Fitness > Health Care: UK > Medicare, Medicaid, Insurance, HMO problems > billing a patient
Expert: Tricia - 11/4/2009
Question
I have recently taken over a billing postion at a medical clininc, and needless to say there is a liitle cleanup going on here. I have run across a account that the service for the patient was denied back in '07, the service was provided in '06. For some reason the balance never got turned over to the pt. How far can a provider go back and bill a pateint? Is there a time limit on that?
Thank you
Answer
Hi Dana!
There is really no time limit set in stone in most states however most use 5-7 years......I would suggest explaining to patient why it took so long to bill them if you do plan to do so. Perhaps a letter explaining may help.
I would tell you that most patients will get very upset if you do not bill them for 2-3 years then out of the blue bill them. However if they owe alot worth a shot to bill them since legally they do owe it.
Most probably already know they owed it since most insurance companies do send an explanation of benefits to a patient when they make payment/deny.
Good Luck!
Tricia
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