When a nonparticipating provider files a claim for...

AAPC CPB - Practice Exam A Test

When a nonparticipating provider files a claim for a patient to BC/BS, how is the payment processed?

A. The payment is sent to the patient and the patient must pay the provider.

B. The payment is sent to the provider if the provider agrees to accept assignment.

C. The payment is sent to the provider regardless if he accepts assignment.

D. The claim is not paid because the provider is not participating in the plan.

✔ Correct Answer:

A. The payment is sent to the patient and the patient must pay the provider.