When claims are processed and accepted, health insurance covers
their part of payment. The remainder is patient’s responsibility. An assistant
is in charge to create a statement with all the procedures that was process
along with the prices, and the amount that health insurance covered. There is a
description of all the information and it is called patient day sheet. This sheet
has all patients’ information along with the charges, they are divided
accordingly to be prepared and printed out to be sent out to the patients.
Depending on the type of software that medical office
setting works with; there is a variety of statements that offices has to work
with, and descriptions of each statement may differ from other medical offices.
This is a daily routing in the medical office setting. Statements need to be
process on a daily basis and be mailed on a time frame.
After all co-pay, deductible, co-insurance, and insurance coverage
is paid, there may be some outstanding balances for some patients, depending on
their health insurance coverage. Payment plan are accepted, when patients cannot
pay in full. There is a 30. 60, and 90 days for collection time frame before it
goes to a collection agency.
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