When to refer patients to a financial counselor
Any time a patient wants to pay 100% in full for an item or service and asks not to submit a bill to his or her insurance, immediately refer the patient to a Patient Financial Counselor (PFC).
Phone: 734-232-2621 (local) or 877-326-9155 (toll free)
Due to an expanded patient right under HIPAA, health care providers are required to restrict disclosure to a patient’s health plan if the patient asks that the provider not bill insurance for an item or service and the patient agrees to and does pay 100% in full for that item or service. A patient may make this request to anyone, such as a physician, nurse or inpatient or outpatient clerk, for either inpatient or outpatient services.
Since these requests are infrequent, a process has been developed for the Michigan Medicine Patient Financial Counselors to handle each request. Faculty and staff who encounter patients making these requests should immediately refer the patient to a PFC, unless the patient making the request has presented to the Emergency Department (ED) after hours, in which case the ED registrars will begin the process directly for the patient.