Forum - Questions & Answers

Mar 2nd, 2010 - chrismcauliffe

clinical trials

is it legal to refrain from notifying an insurance company of a patient's participation in clinical research if we are willing to accept the cost of care related to their participation?
thank you

Mar 2nd, 2010 -

I'm no lawyer

thankfully but why would you be legally obligated to notify them? If you do not charge the patient for any service you do not have to notify the insurer- they are there to pay medically necessary bills not to provide medical oversight to the patient. They are not guardians for their patients. But do not bill for services provided in conjunction with the clinical trial and keep very clear separate records if the patient is in a trial and concurrently treated for non-trial related conditions that do get billed to the insurer.



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