In a scenario where assignment of benefits is not accepted, who is typically billed directly?

In a scenario where assignment of benefits is not accepted, who is typically billed directly?

• A. The payer
• B. The patient
• C. The insurer
• D. The government

Answer: (B)

When assignment of benefits is not accepted, the provider does not have authorization to bill the insurer directly. The patient remains the party responsible for paying for the services, so the provider bills the patient directly. The patient may then file a claim with the insurer for possible reimbursement according to their plan. This is why the patient is the one typically billed directly in this scenario.

When assignment of benefits is not accepted, the provider does not have authorization to bill the insurer directly. The patient remains the party responsible for paying for the services, so the provider bills the patient directly. The patient may then file a claim with the insurer for possible reimbursement according to their plan. This is why the patient is the one typically billed directly in this scenario.