Insurance companies have established networks in most major cities. These networks consist of physicians, hospitals and ancillary providers who sign a contract to accept the “reasonable” amount as payment in full for a given service. Every insurance company has its...
After more than 30 years in medical billing we very rarely ever find errors that benefit the patient, it is always the other way around. You are being billed for money you don’t owe! Here are 3 crazy billing errors we’ve seen at ClaimMedic – Crazy “Error” # 1: The ONE...
As many as 90% of hospital bills contain errors. Furthermore – these errors are much more likely to be in favor of the hospital than the patient – a Nerdwallet Study found that Medicare claims with errors resulted in overpayment for those services by ~26.4%...
Balance Billing When a claim is processed by your insurance company, it’s usually paid as either in- or out-of-network, depending whether the provider has a contract with your insurer. If the provider is in-network, a payment is made based on an amount agreed upon in...
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