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  • Balance Billing for Refractions


    Question: We performed a refraction on a Medicare patient. The secondary insurance has an allowable on the refraction charge. Can we balance bill the patient the difference between our charge and the secondary insurance allowable?

    Answer: What does the remittance advice indicate? If it shows the patient owes a balance, then that is your answer.

    Learn more about billing in the Learn to Code the Essentials.