Inactive Policy Claim

A claim denial because the policy was inactive on the date of service means the provider should bill the insurance again.

The statement 'EOB date not crossed 1 year from today's date' indicates the Explanation of Benefits (EOB) is still within the timely filing limit for most insurance companies.

If a claim is denied because the policy was inactive, the provider should review the patient's eligibility and insurance details for the date of service before billing the patient.

When a claim is denied due to policy inactivity, and after corrections, the provider should issue a corrected claim with the updated patient information to the insurance company.

The phrase 'bill the patient' means the healthcare provider should send a bill directly to the insured individual for the outstanding balance.

If the EOB date is more than one year from today's date, the provider can still appeal the claim denial based on timely filing rules.

A denial citing policy inactivity necessarily allows the provider to pursue payment from a secondary insurance without any involvement from the patient.

If a claim is denied due to policy inactivity, it suggests the patient was never enrolled in the insurance plan.

The one-year timeframe mentioned is strictly related to the provider's deadline to submit an appeal for the claim.

EOB stands for Explanation of Benefits, a document detailing the claim's processing by the insurance company.

If a patient's policy was inactive on the date of service, there is no possibility of retroactive reinstatement of coverage to cover the denied claim.

The statement implies the insurance company has accepted responsibility for paying a portion of the bill.

When the policy is inactive on the date of service, it’s still possible that the insurance will cover the charges if pre-authorization was obtained before the service.

Billing the patient is acceptable even without exhausting options with the patient’s insurance.

If the claim is denied due to policy inactivity, the provider can assume the patient was aware of the policy status.

A provider is generally required to inform a patient that they are about to receive services which will not be covered by insurance due to lack of eligibility before providing said services.

Timely filing deadlines always remain consistently at one year from the date of service across all insurance payers.

A claim denied because the policy was inactive means that there is no possibility of a claim being paid for that service provided the policy remained inactive.

If a claim is appropriately denied due to policy inactivity, the healthcare provider has no further obligation to the patient regarding the cost of services.

If a claim is denied due to policy inactivity and the patient pays the bill out of pocket before realizing the policy should have been active, they cannot seek reimbursement from the insurance company.