Medical Billing: Why Claims are Denied (reason 14 of 17)

The client’s Out-of-network Benefits Differ from In-network Benefits

Out of network benefits often differ from in-network benefits. For example, with out-of-network benefits, insurance companies often place a greater amount of the payment responsibility on the patient, including the potential for additional deductibles that need to be met. Fail to identify the actual amount owed by the patient for out-of-network services, and you may never retrieve payment for services.

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