I work for a substance abuse billing company in which our clients are 100% out of network will all insurances. They do not bill Medicare since free standing substance abuse facilities are a non covered entity.

My companies policy is to balance bill everything (unless the price was negotiated by a 3rd party pricing company like Multiplan)

I have argued to my superiors that since we check yes on provider accept assignment on our claims that we are allowed to write off the balance up to the out of network allowable or usual and customary rate (which can be calculated on any remittance) My superiors say that is fee forgiveness. I disagree. Shouldn’t we be able to write off the balance bill as long as we bill the patient the deductibles, copays and coinsurances that are assigned by the payer?