Third Party Reimbursement Agreement
When reimbursed by third parties, a person receives a service and the service provider charges the third party. The customer is responsible for providing information in support of billing, including the name of the third party and other relevant information, such as an insurance identification number. The third party will pay or refuse the invoice if the services are not covered. If the invoice is refused, the service provider invoices the customer. Invoices can also be shipped if payments are only partially covered. At Schwartz, Conroy & Hack, we have been managing our customers` after-payment checks and refund claims for many years and resolve them successfully and generally without the need to take legal action. Our success is based on understanding how your healthcare practices are managed, how your services are delivered, and understanding the details of your billing, collection and documentation process. If legal action is needed, we are fully equipped and have successfully negotiated these claims. The verification process that followed the payment by these insurance companies is an extremely unpleasant surprise for healthcare providers and seems – most likely – a theft of money developed by the companies. If the health services you and your practice have provided and for which they have been paid are questioned a posteriori, it is boring, stressful and stressful. In addition, these health insurers often stop paying your claims during the process or rely on a verification protocol that makes it extremely difficult to reimburse your current rights and manage your activities from a cash flow and current profitability perspective. Reimbursement by third parties is compensation for services provided by a third party and not by the person receiving the services.
This is what is most often seen in a health context where a patient is treated and an insurance company pays the service provider. Reimbursement by third parties may also be used in other situations as a method of payment, usually at the discretion of the person offering services….