insurer letters?
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Libby LePinnet
Jun 28, 2013, 9:29:08 AM6/28/13
to delaware-cou...@googlegroups.com
Has anyone received one of the letters from insurance that we have to sign.....
Where we have to change the wording??? From BEI:
Please note that the language in insurer payment agreements which states that the provider must accept the insurer’s payment as payment in full does not apply to payments from the escrow account. Nothing in this language prohibits payment to the provider by the municipality from the escrow account. However, it is recommended that prior to signing and returning the agreement to the insurer, providers cross out “financially responsible party” and insert “payor”. This can be hand-written on the agreement, so that the sentence in the agreement reads as follows:
“Provider agrees not to bill the patient or the payor for the difference between the Billed Charge and the Expedited Amount."
At least we'll get paid in full as they told us... I guess just reassuring?!?!
The balance owed to EIP providers who receive a payment less than the State-established rate for EIP services from insurers will be included in Key Bank payment files and reimbursed through the escrow account......
Where we have to change the wording??? From BEI:
Please note that the language in insurer payment agreements which states that the provider must accept the insurer’s payment as payment in full does not apply to payments from the escrow account. Nothing in this language prohibits payment to the provider by the municipality from the escrow account. However, it is recommended that prior to signing and returning the agreement to the insurer, providers cross out “financially responsible party” and insert “payor”. This can be hand-written on the agreement, so that the sentence in the agreement reads as follows:
“Provider agrees not to bill the patient or the payor for the difference between the Billed Charge and the Expedited Amount."
At least we'll get paid in full as they told us... I guess just reassuring?!?!
The balance owed to EIP providers who receive a payment less than the State-established rate for EIP services from insurers will be included in Key Bank payment files and reimbursed through the escrow account......
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