Balance Billing

I need to know guidelines regarding Balance Billing WITH THE FOLLOWING CONDITINS:

1-Pt. Signs a waivier to get an expensive-probably non ins. payable- vaccine which
quotes, "I understand this vaccine may not be covered by my health insurance and I agree to pay $200.00 in order to have this vaccine administered."

2- Pt pays $200

3- Ins. Co Pays $150

Now pt wants their money back, but Dr is saying we should only refund the $150 and keep the diff...

Is this allowed since pt signed a waivier? Does the waiver need to specify we will keep the differance, or does a waivier not count if the ins. pays?

Sorry

If you are contracted with the insurance then you must accept their contracted amount for the service. be sure there is no copay or deductible applied on the EOB that the patient owes. Also be sure you charged admin fee (sometimes practices waive the fee for self-pay)

And look closely to see if the cost of the vaccine is less than reimbursement. If so stop giving it, at least to that insurance company's patients.

Laws

This is what I thought...
Any ideas of guidlines or laws I can reference for the Dr so they belive me? (I've already tried going down this road once and they disagree with me...)

how about

the law of common sense? You could probably post this at "lawyerpedia.com" to get a reference in contract law that says if you sign a contract you are obligated to honor it, unless you are a major league sports star in which case your agent can authorize you to sit out a season to get your contract renegotiated.