Billing Email

How much does a medical billing service charge? Do they charge for the amount of services...?

that are billing or do they receive of portion of what they collect?

Public Comments

1. Most insurance companies have negotiated prices. They will reduce what a billing service charges, so then the billing place has to accept that amount in full. Always make sure that you receive info on what your isurance reduced the charge to, because lots of billing places will still try to bill you for that remainding money and you really don't owe them that. I think it's some kind of scam or something, so just watch what you pay...
2. Colleen pretty much sumed it up. Most insurance billing agencies have a contract with either the hospital or doctor's offices they bill on behalf of. Billing agencies have a direct percentage they get paid to them by the ones they have contracted their services to, meaning the hospital or the doctor they bill for pay them. Insurance companies do not pay billing services, just the claims they recieve. Also if an insurance company tries to bill you for an amount that the hospital or doctor agreed to write off, is considered fraud. Example: Dr. X has Billing Comany A123 bill Insurance Company named XYZ for services he did for patient M. The total bill is $645.00. A123 will send a claim to XYZ for processing. Patient M paid a co-pay of $40.00 which is part of their deductible. So the claim that is being sent in is for $605.00. Insurance company XYZ agrees to pay 80% of the bill which is $484.00 leaving a balance of $121.00. So this amount would be the amount written off by the billing agency on the behalf of the doctors office. The insurance can not bill the patient due to they have made a co-pay which is all they are required to pay accordig to the insurance plan the patient had agreed to. To bill the patient would be fraud because since co-pay was made they would be trying to get a "double-payment." I hope I have helped explain this to you. By the way these are examples I used. All services(doctors,hospitals,and billing services )are different.