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I work in healthcare, I assure you you dont know. Because it depends on the service you are going to provide, the time you have, the procedures you are going to
by conanbatt 8y ago
I work in healthcare, I assure you you dont know. Because it depends on the service you are going to provide, the time you have, the procedures you are going to do, and that is done during the visit, no before service.
When a doctor has to file a claim with an insurance,he has to pick between 10s of thousands of codes and then out of different procedures, that have different values based on how much documentation is gathered, that changes per insurance, and then the insurance will renegotiate.
I am in the business, I can tell you its impossible to know what the insurance company is going to pay.
- mynameisvlad 8y agoPlease, tell that to my dental office that's been doing just that for over a year for me personally, and I'm sure many more years for everyone else going there. Plus, I'm not even in their network and they can somehow figure it out. The codes are standardized for different procedures. If you know that you're doing procedure X, Y and Z and are billing against provider A who you've already billed before, then you know more or less how much they're going to pay for those three procedures based on experience and the standard in-network cost for those procedures. It's not like an insurance provider is suddenly going to reimburse half the cost for shits and giggles. Everything is fairly standardized and theres only so many variables you have to deal with.
- conanbatt 8y agoYour frame of references (dentistry) is not letting you see reality.