Forum - Questions & Answers

Oct 1st, 2015 - dgirardi 1 

which do you bill first when you have medical and vision insurance?

Oct 1st, 2015 - yml3768 31 

re: which do you bill first when you have medical and vision insurance?

Depends on the reason for the visit. If it's for a Routine visit (myopia, hyperopia, etc) then you would just bill the vision insurance. If the reasonthe patient is coming in is for medical issues (dm, armd, glaucoma, etc) then you would just bill the medical insurance.

In our practice, we bill one or the other, not both.

Hope this helps.

Oct 1st, 2015 - dgirardi 1 

re: which do you bill first when you have medical and vision insurance?

thank you for your response. It is consistent with what I understood but I wanted to make sure. Do you modify that decision for a patient that you have been following say that has a high deductible and would have a large copay? Would you then use their vision insurance so that the patient doesn't have a temper tantrum at the front desk?

Oct 8th, 2015 - yml3768 31 

re: which do you bill first when you have medical and vision insurance?

I think it still would be dependent on the reason for the visit. If they had their routine visit for the year (visit was billed to Vision plan) and were asked to follow-up for DM, glaucoma, cataracts, etc., then I would bill the medical insurance and let them know that today's charges will be sent to their medical insurance carrier.

It's hard when you have both medical and vision plans. The clinic I used to work for didn't accept vision insurance, so everything was billed under medical. I now work for clinic that accepts both.



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