Even when a pre-determination is approved, it is not uncommon to be denied later. An example is when the patient has recently left his or her job and finds that in the interim they are no longer covered. In such cases payment should be collected from the patient as the issue is between the patient, the ex-employer, and the insurance company. That being said, it is vital for this and other reasons that your front desk staff brand this into all patients' minds that patients are responsible for any amount the insurance company doesn't pay.
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