OT: participating amt vs. non participating amt vs. limiting charge amt

Discussion in 'Optometry Archives' started by sill, Dec 14, 2004.

  1. sill

    sill Guest

    Hi i had a comprehensive eye exam by an ophthalmologist and got the
    invoice from medicare. i looked at the procedure code that was billed
    and was curious about it so i went to the medicare website to look it
    up. now for 92004 there were 3 different fees. why is that? is
    limiting charge amount the highest my doctor can put on the insurance
    claim, or does he just file the highest fee for participating amt?
    just wondering......

    sill, Dec 14, 2004
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