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Who should be responsible for paying for a medical procedure that is not approved by an...

Who should be responsible for paying for a medical procedure that is not approved by an insurer?

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Answer #1

Ans) If an insurance company denies a service stating it was not medically necessary and the physician believes it was then appeal the decision with a statement from the physician.

- If an insurance company admits that a patient signed an assignment of benefits document and that it inadvertently paid the patient instead of the physician, the insurance company should
pay the physician within 2-3 weeks and honor the assignment even before the company recovers its money from the patient.

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