We generally still accept the referral it just creates a higher out of pocket cost for the patient. We inform them of their out-of-pocket cost before admitting. The only time we decline the referral is if we are not contracted with the payer and they require a contract.

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

 



From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Friday, July 28, 2023 8:47 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: out of network
 

You bill the same way. It just means you need to find out if they will authorize coverage. They typically will ask member to choose an in network provider ifthere is one in reasonably close vicinity. Otherwise, they will authorize coverage even if you are out of network. This should be determined before admitting client.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Laurie Saehr
Sent: Friday, July 28, 2023 8:30 AM
To: billers@list.mnhomecare.org
Subject: out of network

 

Has anyone every accepted a client that their insurance states your facility is out of network? Just wondering how you handle filing the claims. This was a employees mother. I am really not sure how to bill the insurance company because we

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Has anyone every accepted a client that their insurance states your facility is out of network? Just wondering how you handle filing the claims. This was a employees mother. I am really not sure how to bill the insurance company because we are not in-network with them.

Thank you

 

~~~~~~~~~~~~~~~

Laurie Saehr

Horizon Health

Billing Specialist

 

Partners Senior Living Options

PO Box 319

Royalton  MN  56373

(P) 320-302-0192

(F)320-302-0194

 

 

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