The team here at Healthy Bytes is sometimes asked whether, as a non-U.S. citizen, the process of undergoing credentialing and contracting with health insurance companies would be different than undertaking it as a U.S. citizen. While this question may not apply to many of you, there are students and entrepreneurs who hold U.S. visas that allow them temporary residency but not citizenship. How does this impact their ability to accept insurance?
When you file a claim to an insurance company and it gets finalized, you, as the provider, will get remittance advice, which explains the insurance company’s rationale for that claim’s payment (or lack of). The remittance advice is sent to you as a written summary of what the insurance company will cover for a particular claim. The remittance advice outlines what the insurance company paid, the amount that was applied to a client’s deductible, and what amount may now be due from your client. It’s oftentimes accompanied by a check or statement of electronic payment.
Do you have a burning billing question? We oftentimes receive questions from you – and there’s oftentimes overlap in the questions that you all need answers to! That’s why we’ve compiled a short list of questions and answers for you today to read and refer back to. We hope you find this helpful. And please let us know what questions you would add to this list – we’ll answer them in a future installment!
Pre-authorizations are a piece of the billing puzzle, helping to determine whether your client’s visit with you is deemed medically necessary. Let’s take a step back to explore this process and when these have to be conducted on behalf of your client.
Sometimes, insurance may need additional information to determine whether your nutrition counseling service is medically necessary. This is called a pre-authorization – you’ll sometimes hear this referred to as simply an authorization or a prior authorization.
Many insurance companies are moving away from paper checks and toward electronic reimbursement. A provider typically has to have access to a payer’s online portal in order to successfully manage the claims filing process. We learned that many of you still opt for paper checks for a variety of reasons. Which do you prefer?