I need help with an issue I have come across lately. My physician does not participate with many insurances so we collect payment at time of service and than we submit electronically on behalf of the patient indicating on the HCFA that the Dr is NON PAR and does not accept assignment.
Normally insurance companies pay out to the subscriber but we have run into some instances where the insurance company pays us directly instead of the patient. So than we refund the insurance company so they can properly process the claim and pay out to the patient. Some insurance companies are giving us a hard time and asking why can’t we just refund the patient. The company policy is to refund the money to the insurance company. I was wondering if any one else runs into this issue and how do they handle it?

Thank you in advance.