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Click here for more sample CPC practice exam questions and answers with full rationale

Balance billing

Other web searches suggest that balance billing is legal for an out-of-network provider in an office setting. Wondering if anyone can confirm or deny. Ya know, I trust Dr Google only so much. The patient knew the provider was out-of-network, though in this case both pt and provider were hoping the payor would credential the provider sooner rather than later so a number of visits went unpaid ($ 0 for out-of-network for this payor). All knowledge welcome.
Marjorie in Massachusetts

Medical Billing and Coding Forum