The Insurance Accept Assignment Option is a status field that determines whether the provider accepts responsibility to bill the insurance carrier, or the patient pays the bill and seeks reimbursement from the insurer.
Tips:
For more information about the Insurance Accept Assignment Option, see How Insurance and the Accept Assignment Determine Billing.
The Accept Assignment Option determines whether charges are distributed to the insurance's Private ATB Category or the Insurance ATB Category.
If the Accept Assignment Option is N(o), any private balances associated with this insurance will be accumulated in the insurance's Private ATB Category.
If the Accept Assignment Option is Y(es), any insurance balance associated with this insurance carrier will be accumulated to the insurance's Insurance ATB Category.
Notes:
If the practice has a contract with the insurance carrier and must accept payments or if the practice wants to bill the insurance and receive payment before transferring the balance to the patient, set this field to Y(es).
If the practice wants to generate a courtesy claim to the insurance or give the claim to the patient to file, set this field to N(o). The patient also receives a statement and is responsible for payment.
The Accept Assignment Option works in conjunction with the Insurance Responsibility Code.
If the insurance's Responsibility Code is P(atient), the Accept Assignment Option must be N(o).
If the insurance's Responsibility Code is I(nsurance) or O(ther), the Accept Assignment Option is generally Y(es), but can be N(o) for courtesy billing purposes.
Where-Maintained: Insurance Maintenance
Where-Used: Charge Entry - Transaction Detail Area, Prior Authorization Maintenance, Payment Entry - Commit Payments Area
Format: 1 character, Y or N