EOB/DOS
"This is NOT a Bill"...... it MAY look like it
What is an EOB
Dr. Sniffleberger advised the patient that he is NOT contracted with her insurance
What is "Out of Network"?
Amount of money that needs to be paid prior to insurance making payment.
What is a "Deductible"?
DOS, Provider Name, Insurance Name, Cost Break Down
What is Page 1 of the EOB
Private, Public, Government
What are the "three types of insurance"?
Cigna/UHC-90 days from DOS. BCBS/Humana 1 year from DOS. Aetna 180 days from DOS.
What is "Timely Filing?"
Natera will receive this document approximately 14 days after the patient.
What is " Natera's Group EOB"?
TriCare, Medicaid, Medicare
What is "Government Insurance?"
The claim has to be sent in prior to the timely filing deadline. If the claim is denied, Natera will try to appeal the denial up to 2 times automatically. Once the claim is processed, Natera will bill the patient. When the patient pays the claim cycle is complete.
What is the Natera's Claims Process?
Date the sample was collected
What is "Date of Service"
Monthly amount paid to the patient insurance.. NOT included in the out of pocket costs associated with the plan.
What is a "Premium?"
Billing process selected on the requestion form is started. If we are missing information we will reach out to the patient for information about their insurance.
What is Step 2 in Patient Journey/ Start Billing?