PATIENT PORTAL / SIGN OVER CHECKS

Sign Over Checks


Dear Patient and Provider,
In the event the provider is considered Out of Network, the insurance may process the claim and release the funds to patient directly INSTEAD of your provider in error. There is also some occasion when the insurance payer will send the check to the provider that should be the patient's reimbursement. IF this happens, please use the following steps so the right person is paid.

When Patient Receives the Check that is Payable to the Provider:
In order for your provider to be properly paid for the services rendered, you will need to sign the check over to the provider office and/or birth center using either of the two methods below:

Option One: On the back of the check write: "Pay to the order of YOUR PROVIDER NAME" and mail or walk-in the payment to the office.

Option Two: Deposit the check into your personal account and call in the payment to either FMBS or the provider office and/or birth center.

When Provider Receives the Check that is payable to the Patient:
In order for your patient to be properly reimbursed for the services provided, you will need to sign the check over to the patient using either of the two methods below:

Option One: On the back of the check write: "Pay to the order of YOUR PATIENT'S NAME" and mail or have the patient pick up the payment from the office.

Option Two: Deposit the check into your business/personal account and write a check out to the patient from your account for the amount of the check received.


Dr. Mussman PLLC - Sign Over Checks

Dr. Mussman is an Out of Network provider, and because of his out of network status your health plan, and most often Blue Cross Blue Shield may process the claim(s) and release the funds to patient or plan policy holder directly INSTEAD of Dr. Mussman.

Please use the following steps to properly sign over payment.

When Patient Receives the Check that is Payable to the Provider: Option One: On the back of the check write: "Pay to the order of YOUR PROVIDER NAME" and mail or walk-in the payment to the office.

Office Address: 10240 W Indian School Rd suite 115, Phoenix, AZ 85037

Option Two: Contact the Office Manager for Dr. Mussman PLLC to arrange direct courier pick up.

Heather @ 623.243.9077, state you have received an insurance check and would like to arrange a pick up.

Failure to sign over insurance payment will result in a permanent medical lien. To understand more about medical liens, please use the link below:
https://favoredmedicalbilling.com/patientfaqs.php#forty
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