Charge Allowable

October 1, 2007

When a patient has a high-deductible form of insurance, should we collect our total charge amount or should we charge the patient based on the approved amount by the insurance company?

Question: When a patient has a high-deductible form of insurance, should we collect our total charge amount or should we charge the patient based on the approved amount by the insurance company?

Answer: According to expert Owen Dahl, you must use the approved fee schedule or allowable at the maximum amount, not your normal fee schedule.