Northwest Sustainable Energy for Economic Development

Sent: Friday, October 23, 2:PM To: drteam Subject: Case [redacted] After completed research of the situation surrounding overpayment with the insurance company, the patient has been refunded the overpaid amount As a matter of policy and procedure for most medical providers, our office contacted the insurance company prior to seeing the patient to determine if the medical service would be covered and obtain the correct copay amount the patient would be responsible to pay at the time of service Insurance representatives told our staff the amount to collect at time of service As a medical provider, we are required to collect copays, deductibles and co-insurance amounts This is a standard practice Sometimes, as in this case, the insurance company pays at a rate different than what was quoted We then consult the insurance company before refunding any overpayment The insurance company investigates the payment and determines if a refund is due to the patient or to the insurance company

Sent: Friday, October 23, 2015 2:52 PM To: drteam Subject: Case [redacted]   After completed research of the situation surrounding overpayment with the insurance company, the patient has been refunded the overpaid amount.   As a matter of policy and normal procedure for most medical...

providers, our office contacted the insurance company prior to seeing the patient to determine if the medical service would be covered and obtain the correct copay amount the patient would be responsible to pay at the time of service.   Insurance representatives told our staff the amount to collect at time of service.   As a medical provider, we are required to collect copays, deductibles and co-insurance amounts.  This is a standard practice.   Sometimes, as in this case, the insurance company pays at a rate different than what was quoted.  We then consult the insurance company before refunding any overpayment.  The insurance company investigates the payment and determines if a refund is due to the patient or to the insurance company.