If a claim is submitted by a physical therapist on behalf of a patient, who is responsible for payment for the services?

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In a scenario where a physical therapist submits a claim on behalf of a patient, the responsibility for payment typically falls to the healthcare program or insurance provider rather than being completely devoid of responsibility. In most cases, the healthcare program (like Medicaid or Medicare) is designed to cover such services if they meet the criteria established by the provider.

However, the chosen response suggests that no one is responsible, which does not accurately reflect the usual framework within healthcare billing. The correct interpretation acknowledges that either the insurance entity or the patient (in the case of co-pays or deductibles) holds the financial responsibility. Therefore, recognizing that the healthcare program generally covers the claim and its established terms is essential.

It's also important to note that while patients can sometimes owe a share (like a co-payment or deductible), the complete absolution of responsibility does not align with the typical relationships and responsibilities in health service payments.

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