Saturday, May 25, 2024

Non-Covered Item Billing

Jessica Johnson

This *may* be insurance/contract-specific, but looking for general
feedback.

If a patient wants additional items that are not covered by insurance (i.e.
running leg, backup leg/socket, etc.) which are clearly stated as not
covered in the policy, is it industry standard to charge “usual and
customary” or the amount their insurance WOULD cover if it were a covered
service?

Thank you!
Jessica Johnson, Office/Billing Manager
P&O Services

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