CARC · PR group
PR-204
Service not covered under the current benefit plan, patient responsibility
Patient responsibility; billable to the patient
- What it means
- Same exclusion as CO-204, but the balance is billable to the patient.
- Likely cause
- Non-covered service delivered without a signed self-pay acknowledgement.
- How to fix it
- Verify benefits by CPT before the first session and get the self-pay agreement signed at intake.
- Revenue impact
- Collectible when disclosed; a write-off and a complaint risk when not.
- non-covered
- patient responsibility
- self-pay
Related codes
Early access
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