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Note: If you do have a co pay (a fixed dollar amount paid at each visit such as $15 per visit),

you will be expected to pay that at the time of your visit. This will not be billed. (3) Do I have
Co-Insurance (a split per cent between you and the insurance company for a negotiated fee
charged such as 80/20 where the insurance company pays 80% of the fee and you pay 20%)?
YES/NO (circle one) (a) If YES, What is the per cent I am responsible for of the fee?
__________% Note: If you have co insurance, you pay NOTHING at the time of your visit. We
will bill the insurance company for your visit. Once we receive their payment for your visit
(e.g., 80%) , we bill you for the difference (e.g. 20%) and the invoice will come from
Psychological Solutions, LLC. We expect prompt payment of this co insurance amount so
please plan accordingly. The amount you owe will initially be seen when you get your
Explanation of Benefits (EOB) statement from your insurance company, and it may contain
more than one visit if you come a few times a month. You also may notice a discount or
write off as insurance companies have negotiated rates that are lower than our standard
fees. You do not need to pay the EOB from your insurance company. This is just a heads up
so you know what you can expect to pay as your co insurance. Wait for us to bill you for
this.

What is the outcome that you would like to see here? (This may help with people who rant,
ask questions, rant, go on a tangent, and then rant some more.)

Before I explain this,

Paraphrase1: So, youre seeing a charge for $41.95 over and above your normal charge of
$21.99, and youre wondering what happened there?

Paraphrase after catching the miss from paraphrase 1: Oh, your entire bill is $41.95. Okay,
so theres an additional $19.96 that we need to find somewhere.

I understand. When would be a better time for me to call back?


Well, thank you for your time today. Have a good morning/afternoon.

Why collect a reference ID for the call?

This keeps the insurance company accountable for their own human error and
enables you to successfully fight any error that might occur.

Do you have any previous bill with you madam?

Your account number is located at the top right hand corner of the bill statement.

Okay, Michelle, I have Lewis from the Billing department here on the line and hell be able to assist
you further with your account. Did you have any other questions for me before I go? Okay, thank
you for using XYZ Services, you both have a great day!

Oh, I'm so sorry to hear about that Ma'm. Don't worry, I'm here to help you out. Let me see what I
could do for you, let's start first by verifying your account number, is that OK with you?!

Got it, thanks!

Thank you so much for all of the information.


https://billadvocates.com/8-common-claim-denials-appeal/

You

http://www.myeyes.com/eye-questions.shtml#1

http://www.eanw.net/patient-resources/billing-faqs/

http://www.eanw.net/patient-resources/general-faqs/

http://www.eyecareok.com/index.php?about-our-clinic/clinic-faq

http://www.spokaneeye.com/home/about-us/insurance-and-billing-faq/wellness-vision-
exam-or-medical-exam/

http://www.nyee.edu/about/billing-insurance/billing-faq#2

http://visionsource-lakewoodranch.com/patients/faq/

https://my.clevelandclinic.org/help/billing-faq

Patient is requesting to make partial payment. - check age of the bill - offer payment plan
assistance if needed.

https://clariseyecare.com/faq/

http://www.uwhealth.org/patient-guides/billing-and-insurance/billing-frequently-asked-
questions/10183

CARE CREDIT - what is it?

https://www.familyeyecareclinic.biz/faq/

https://www.blaineeyeclinic.com/patient-center/insurance-and-billing-information/

https://www.blaineeyeclinic.com/patient-center/financing/

http://www.thewoodlandeyeclinic.com/faq/

https://www.orlandoeyeinstitute.com/patient-information/insurance-and-billing-faq/

Do we send bills to collection agency?

http://www.penneyeyecare.com/f-a-q/

http://www.parknicollet.com/Medical-Services/Eye-Care/Billing-and-Insurance

http://www.takleeye.com/wp-content/uploads/2016/01/Financial-Policy-2008.pdf
A refraction test will determine what corrective lenses you need to achieve your optimum vision. The
refraction will guide the eye care professional when determining if there is an eye disease present.

A refraction not only helps your doctor determine if you need corrective lenses, but it also acts as an
important tool that enables you to track the overall health of your eyes.

https://www.bcbsri.com/sites/default/files/polices/Opthalmology_Exa
minations.pdf

https://www.aoa.org/Documents/optometric-staff/Articles/Basics-
Billing-and-Coding-Eye-Exam.pdf

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-
Network-
MLN/MLNProducts/downloads/VisionServices_FactSheet_ICN907165.
pdf

Topic:

* refraction part of medical exam


*vision billing codes
*refraction insurance guidelines

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