Obtaining Correct Benefit Information Prior to Treatment
Most healthcare organizations supplement online eligibility information by verifying benefits over the phone. Unfortunately, carriers routinely warn that benefit information obtained over the phone is “not a guarantee of payment.” One way to obtain more accurate benefit information is to take the verification of benefits process “one step further” by demanding Benefit Clarification Disclosure. Benefit…
U.S. District Court of Appeals Finds BCBS Direct Payment to Patients Violates Assignment of Benefits Law
The Blue Cross Blue Shield practice of mailing direct payment of out of network benefits to patients instead of assignment-holding providers was recently found to be a violation of Louisiana law, a ruling which casts into question the legality of millions of dollars in benefit payments which BCBS has sent directly to patients. BCBS has…
