Does anyone have any idea what your policy is on billing for aphakics?
We have had SEVERAL new fit aphakics lately, and a lot of the insurances are paying pennies on the dollar IF THAT, and then claiming the rest is provider right off, even when we dispute it.
We are in Michigan, and deal with a lot of BCBS and Priority Health claims. We've already spoken to the insurance reps, and the next step according to the insurance company is to bring it to the Michigan Ophth. Society.
Anyone have a particular policy? We hate to have the parents pay for it, as it really should be covered benefit, but we can't keep this up!
Do you have a benefit waiver that that they sign before ordering? Do you have them pay up front before billing? How well is that received by the parents if so?
Chip - what do you do?
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