non-contracted insurance payments

[Guest guest]

Hi ,

I have lots of people see me out of network (I’m not

contracted with their insurance company). The insurance company can say

whatever they want, but if you have no contract with them, they cannot dictate

what you charge the patient. The insurance co may pay you or the patient

what they want to pay, and you can collect the amount left from their payment

and your charge. I don’t know why these insurance companies send

the EOBs looking like they can force us to adjust off a certain amount when we

don’t have a contract with them. I have verified this with my

medical consultant and the insurance companies themselves.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863