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Re: Contractor "paying" Roof Deductible - FRAUD or Not? Legal or
I have seen it happen with health insurance more than a few times.
Provider is going to bill for a very large claim (is a par provider) and tells the patient not to worry about the deductible because the NFR they are going to get is so huge.
These cases are usually where the service is retailing for over $500k pre-negotiation.
As far as the carrier is concerned, it is between the subscriber and the provider on settling up the deductible. So long as the provider credits it for the subscriber.
On a side note, I have seem some amazing negotiated rate discounts. I saw one on a client billed out at $850k (inpatient infusion/stem cell/etc) negotiated down under $100k.
I have seen it happen with health insurance more than a few times.
Provider is going to bill for a very large claim (is a par provider) and tells the patient not to worry about the deductible because the NFR they are going to get is so huge.
These cases are usually where the service is retailing for over $500k pre-negotiation.
As far as the carrier is concerned, it is between the subscriber and the provider on settling up the deductible. So long as the provider credits it for the subscriber.
On a side note, I have seem some amazing negotiated rate discounts. I saw one on a client billed out at $850k (inpatient infusion/stem cell/etc) negotiated down under $100k.
