Who is NOT responsible for paying the claim if it lacks required identifiers?

In the context of healthcare claims, proper identifiers such as patient information, provider details, and accurate codes are essential for processing claims correctly. If these required identifiers are missing, it can lead to delays or denials in payment.

The primary responsibility for ensuring that claims are submitted with all necessary identifiers typically rests with the healthcare provider, which, in this case, could be the physical therapist. The governmental healthcare program is responsible for processing claims but relies on accurate and complete submissions from providers. Therefore, if the claim lacks required identifiers, it cannot be processed correctly, leading to the conclusion that the patient is not held responsible for the payment of the claim under these circumstances. The patient generally is not involved in the claim submission process.

The other parties, such as the physical therapist or the healthcare program, have obligations to ensure correct submission of claims, placing accountability on them rather than the patient. This is why the patient is not responsible for paying for claims that are improperly submitted due to missing identifiers.