From the GIC Summer 2004 Newsletter pdf format of fybsummer2004.pdf

Some hospital and physician group practices are billing GIC members for office visit copays that the member already paid at the provider's office. The GIC has become aware of these occurrences through members, staff experience, and confirmation from our plans. Here is what you can do to protect yourself:

  • If you pay at the office, always get a receipt.
  • Always watch your medical bills. Keep your health plan EOBs (Explanation of Benefits) and copay receipts in one place, and use this information to cross-check bills you receive from providers.
  • If you are treated at a hospital-based physician office, consider waiting until you receive the bill to pay for the office copay. Although many doctors offices require copay payment when services are rendered, in general hospital-based physician offices do not make this a requirement. (Copays for surgery and inpatient hospital stays are usually not required on the date of service, eliminating double billing issues.)
  • Find out the most effective way to resolve these discrepancies (e.g. sending proof of payment by fax instead of mail) by calling the phone number on the bill.

This information provided by the Group Insurance Commission .