Medical Office Guide to Health Insurance Contracts. Steve Verno. Disclaimer. I am NOT a lawyer. I DO NOT provide legal advice. The information in this presentation is for training purposes only!. Warning!.
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I am NOT a lawyer. I DO NOT provide legal advice. The information in this presentation is for training purposes only!
Health Insurance Contracts can be very complicated and should be reviewed by an expert, preferably a health care lawyer!
Most health insurance contracts are Pro-Insurance Company
List anyone and everyone authorized access to YOUR contract within the Contract! If they aren't listed, they aren't allowed access.
Give approving authority, in writing, to any new entity or affiliate that the insurance company wants to add or purchases.
Physician Group must submit these claim forms to Company A within one hundred eighty (180) days of 1) the date such services were provided when Company A is the primary payor, or 2) the date of Physician Group's receipt of the explanation of benefits ("EOB") when Company Ais the secondary payor in order for Physician Group to be entitled to payment for such services provided pursuant to this Agreement.