Forum - Questions & Answers
Non covered services
If a claim is denied due to the "this service is not a covered on your policy for dependents", is the dependent or the subscriber financially responsible.
re: NON COVERED SERVICES
Typically the EOB will state if the patient is responsible or if you are obligated to remove charge by contractual agreement.
re: NON COVERED SERVICES
The EOB states "services are provided for you and your spouse. You have no benefits for his service when another family member is the patient. The member is liable for payment". This is the parents policy and they provided their ins to bill for their daughter's service.
re: NON COVERED SERVICES
The message clearly states that the balance can be billed to patient/subscriber.
re: NON COVERED SERVICES
The person receiving services, the patient, is responsible as long as they are at least 18 yrs old. It doesn't matter that it's the parent's policy. I believe this is what you were asking.
