Wednesday, May 1, 2019

Balance Billing


Per Mississippi Code 83-9-5, if a medical provider accepts payment from the insurance company, the medical provider cannot bill the insured for the remaining balance. 



 “If the insured provides the insurer with written direction that all or a portion of any indemnities or benefits provided by the policy be paid to a licensed health care provider rendering hospital, nursing, medical or surgical services, then the insurer shall pay directly the licensed health care provider rendering such services. That payment shall be considered payment in full to the provider, who may not bill or collect from the insured any amount above that payment, other than the deductible, coinsurance, copayment or other charges for equipment or services requested by the insured that are noncovered benefits” (emphasis added).

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