Can a physician or provider charge a carrier for records requested to process claims?
Yes, unless prohibited by your contract. According to the Board of Medical Examiners, reasonable fees for medical records are as follows. You also may wish to check their website. Board rule 165.1 defines a reasonable fee to be a charge of no more than $25 for the first twenty pages and $.15 per page for every copy thereafter. For x-rays, $8.00 per film. In addition, a reasonable fee may include actual costs for mailing, shipping, or delivery. The physician shall be entitled to payment of a reasonable fee prior to release of the information unless the information is requested by a licensed Texas health care provider or physician, if requested for purposes of emergency or acute medical care. In the event payment is not included with the request, within ten calendar days from receiving a request for the release of records for reasons other than emergency or acute medical care, the physician shall notify the requesting party in writing of the need for payment and may withhold the informat
Related Questions
- How long does a provider have to submit medical records when requested by a Recovery Audit Contractors (RAC)?
- May a records custodian charge a requestor for the labor/staff time involved in producing requested copies?
- Can a physician or provider charge a carrier for records requested to process claims?
