What should be done if there is an outstanding balance after insurance payment?

• A. Deny the claim and inform the patient.
• B. Balance the claim without communication.
• C. Mail statements to patients with outstanding balances.
• D. Write off the balance immediately.

Answer: (C)

After insurance has paid, any remaining amount is the patient’s responsibility. The most appropriate next step is to mail statements to patients with outstanding balances. This clearly communicates the exact amount due, what services were billed, and the available payment methods. It helps maintain cash flow for the practice, supports transparency, and reduces the risk of bad debt by setting expectations and deadlines. Including due dates, a breakdown of charges, and options for payment plans or contact for questions makes it easier for the patient to resolve the balance. Denying the claim after payment, failing to communicate, or writing off the balance without policy can damage trust and revenue, whereas sending statements keeps the process professional and compliant with patient financial responsibility.