by Christine Woolstenhulme, CPC, CMRS, QCC, QMCS
March 7th, 2016
If there is a contract in place, you may only be able to bill the patient for co-pays and deductibles the patient would normally have to pay. Once a patient tells you they are covered under a plan which you are contracted with, you may be legally required to bill the payer. If the patient does not tell you they have coverage, I suggest to have them sign an insurance waiver stating they do not have coverage and want to pay cash for your services. This may also be helpful if they go back and change their mind, so you don't run into any legal issues.