kaki asked:


I was thinking about taking classes for insurance billing I was wondering if this is a well paying field to get into.

Electronic billing software and medical billing software

Popple asked:


This is making my husband and myself crazy! I am 6 months pregnant and the Insurance Handbook clearly states that all my prenatal care is covered, with the exception on the initial $30 co-pay at the first visit.

Here’s the problem:
My doctors office is called OBBYN Affilates and has 6 doctors. They registered with our insurance (Conventry Health) under the individual doctors names. When you search for a provider, it lists all 6 doctors as covered, but no where says OBGYN Offilates.

The billing office for the doctor keeps submitting claims under OBGYN Offilates, which is not recongnized by the insurance because this is not how they registered. So, we are getting charged a much higher out-of-network rate. The billing office is very rude and states that this is how they have always submitted there claims: OBGYN Offilates w/ the doctors name underneath. However, when looking at our claims on line, it does not say the doctors name anywhere and they are all denied with us owing a large portion. They wont even cover my routine ultrasound!

However, all my prenatal refills at the pharmacy are under the doctors name and they are approved!

We left a message for the office manager at my doctors office and are waiting for a call back. I already called them once and they did nothing.

I am really worried about the hospital bill if this is messed up now!

Any ideas on how to get this fixed? It is such a stupid problem, but no one will cooperate!

Thanks!
Yes, I wish knew this sooner! I had my first prenatal visit in May, but didnt start getting bills until the first of August and I was already out of my first trimester.

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Deidre W asked:


I used to do insurance billing for an optometrist, who also did my eye exams as well. When I first started there, I still had Vision Service Plan from my previous employer. My contact lenses are considered medically necessary because of my strong RX, however, I am very easy to fit for contacts because my RX has been stable for a few years, and I have no other problems. We had several other patients who also had medically necessary contacts, but most were more difficult to to fit. However, he was billing for the same amount of money for me as he was for people who required several follow-ups and multiple pairs of trial lenses in various RX’s. This seems unethical. Should I have reported this to VSP? I had no previous billing experiance prior to this, so I didn’t think anything of it at the time.
Please don’t answer if you have no actual knowledge of insurance billing practices. Thanks.
He was billing the actual lenses for about $200 more than he would bill the same lenses for if someone did not fall into the Medically necessary catagory. The same exact lenses. Also, when people had double coverage, and wanted non-prescription sunglasses, he would have us order a pair of glasses with RX lenses, then when they got there, he would take out the RX lenses and put plano tinted lenses in them. On occasion, he would have us bill VSP as the primary insurance when another company was in fact the primary insurer.

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crazy4tobe asked:


Produce a basic insurance billing information collection tool and draft a basic policy regarding patient billing. Include protocols for Medicare insurance and private insurance. Can someone PLEASE give me some ideas on how to to do this? I have the website but yet it is still confusing to me. Here is the website. The AMA council approved Health Insurance Claim form can be accessed for reference from the following website: http://www.cms.hhs.gov/providers/edi/cms1500.pdf

Electronic Medical Billing Software for medical offices or medical billing services.