Patient seen an out of network provider for exam and xray. D0150 and D0210 billed to Metlife insurance with standard fee. Received an EOB, payment is a little higher than billed amount. It is right to post what the insurance paid? Or should patient has credit from insurance payment? Please advice. Thank you.

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  • Patient seen an out of network provider for exam and xray. D0150 and D0210 billed to Metlife insurance with standard fee. Received an EOB, payment is a little higher than billed amount. It is right to post what the insurance paid? Or should patient has credit from insurance payment? Please advice. Thank you.

Patient seen an out of network provider for exam and xray. D0150 and D0210 billed to Metlife insurance with standard fee. Received an EOB, payment is a little higher than billed amount. It is right to post what the insurance paid? Or should patient has credit from insurance payment? Please advice. Thank you.

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Asked on March 3, 2016
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If the insurance company has made an overpayment the over paid amount is refunded to the carrier not the patient.

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Answered on March 4, 2016
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