Offset

What is offset in medical billing?

• When an insurance company makes excess payment to its provider

• When Insurance adjust off the contractual balance

• When insurance Paid the claim

• When Insurance left the balance for Patient Responsibility.

If the allowed amount is $100.00 & Insurance paid $150.00 & then insurance adjust off the excessive paid balance in next claim is it the example of Offset?

• True

• False

Does Offset has a denial code?

• True

• False

In R1D where we can see the Remittance?

• Claim Remittance

• Eligibility & benefits

• Account Action Notes

• Tag Information

If Insurance company recoup the over payment balance & in next claim DOS they denied the claim for OFFSET. What action you will take?

• Send Medical Records

• Call Challenge due to incorrect denial

• Adjust the balance

• Transfer the balance to Patient

In call what information do we need to take if insurance adjust the balance for Offset payment?

• Check date, Check number

• DOS of service & Patient name where they have made over payment

• Claim number , Overpaid and Offset EOB & Bulk amount.

• All of the above