PAYMENT MADE TO PATIENTS BY THE NON CONTRACTED CARRIERS

DESCRIPTION OF THE ISSUE

Dr.  is non-par with Blue Cross Blue Shield, so the Hospital claims which were billed to the carriers were reimbursed to the patients directly. Since there are no payments received from the patients we are unable to collect those payments from the patients.

CONCEPT

In order to received payments from the carrier, the provider should be contracted with the Carrier.

REASON

Since we are unsuccessful in retrieving patient payments through statements we are waiting for the documentation process to get completed with the Collection Agency for further go.