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What are the main differences between direct billing and cash payment upfront, in Medical Insurance?

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تم إضافة السؤال من قبل مستخدم محذوف‎
تاريخ النشر: 2017/04/18
Ahmed Mohamed Ayesh Sarkhi
من قبل Ahmed Mohamed Ayesh Sarkhi , Shared Services Supervisor , Saudi Musheera Co. Ltd.

direct billing meaning the amount u should be pay during going to the hospital and take ur medicate and it is always 20% cash from total amount till 100 SR as a max on KSA

 

cash payment upfront u already pay all this % when u sign the contract then u can go to take medicate without pay anything

 

Kalyan  P
من قبل Kalyan P , Assistant Manager HR , Halodoc/ Sasken

I agree with Ahmed Mohamed

ايمن محمد عاطف محمد
من قبل ايمن محمد عاطف محمد , Director of the control and regulation unit , ACOLID

Direct billing is an arrangement between a health insurance provider and a doctor (or other medical facility), where the doctor sends bills for services directly to your health insurance company. This means that you do not have to put in a separate claim with your insurance company

 

Paying up front means paying in advance, before you receive a product or service

Obaid ur Rehman
من قبل Obaid ur Rehman , HR Executive , Al Bahr Al Arabi Marine Engineering Services

I go with the answers of two experts. 

DrSedeek ElHakeem
من قبل DrSedeek ElHakeem , Health Insurance advisor , HICARE

According to CCHI united policy :Direct Billing or Company Billing: the facility of non payment granted to the

beneficiary at one or more medical facilities appointed by the Company whereby

all such costs are directly billed to the Company.

lubna almasri
من قبل lubna almasri , Administrative Assistant , Virtual World for export and import

Thank's for invitation 

I agree with Mr Ahmed Mohamed

مستخدم محذوف‎
من قبل مستخدم محذوف‎

Additional Info. 

Direct billing is used mostly when there is an insurance policy issued by a third party, who is responsible for underwriting and claims. 

Cash upfront, is mostly used when a company or institution is using self-financing, where employees pay the medical cost and start a claim internally. 

Cash upfront with self-insurance, is not beneficial in medium sized group policies where the majority of employees are older thus high risk. But it's beneficial for small group of people with less than 25% of high risk employees. As the cost is directly effected by the age of the group. 

Wobr Bobr
من قبل Wobr Bobr

I totally agree, and I'm glad that I decided to find a company when I just started running a business because it helped me avoid a lot of additional work. I discovered https://fortismedicalbilling.com/asc/, and I've been working with them for a long time, they indeed provide the best medical billing services.

Lucya Smit
من قبل Lucya Smit

The difference is in the separate claim with your insurance company. But I think it's easier to just work with a billing company and don't worry about that at all.

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