What is the name of your state (only U.S. law)? California
What are the provisions for a doctor charging the insurance company multiple co-pays for one visit? I'm not sure if this qualifies as fraud or not...
At a recent visit to an Urgent Care Clinic, I noticed my co-pay amount was for three visits, I asked about it and was told that because there were multiple diagnosis, the clinic needed to charge for multiple co-pays. Does this seem right? It is my understanding; one visit; one charge. Not, one visit and if we diagnose 3 separate issues then we will bill the insurance company for three visits.
What are the provisions for a doctor charging the insurance company multiple co-pays for one visit? I'm not sure if this qualifies as fraud or not...
At a recent visit to an Urgent Care Clinic, I noticed my co-pay amount was for three visits, I asked about it and was told that because there were multiple diagnosis, the clinic needed to charge for multiple co-pays. Does this seem right? It is my understanding; one visit; one charge. Not, one visit and if we diagnose 3 separate issues then we will bill the insurance company for three visits.