Can a hospital or other forensic examiner bill the victim for the remaining balance after direct reimbursement by the OVS?

Can a hospital or other forensic examiner bill the victim for the remaining balance after direct reimbursement by the OVS?

No. Once the survivor chooses that a provider bill OVS through this program, the provider and any other services providers that provided forensic exam related services, cannot bill the survivor or their insurance. Additionally, if the provider receives reimbursement through the program, the healthcare provider must accept the OVS reimbursement rate as payment in full for covered and submitted services. The purpose of this Direct Reimbursement Program is to ensure that the sexual assault survivor not be held responsible for the payment of the cost of the forensic examination. The healthcare provider shall not submit any remaining balance after reimbursement by OVS to the survivor or commence civil actions against the survivor to recover any balance due for services related to the sexual assault forensic examination. The billing provider should work with all the other service providers, including the ER Physician, to ensure no further billing of the survivor for services occurs.

Any services billed by a provider as part of the Forensic Examination Direct Reimbursement Claim are covered by the direct reimbursement payment at the statutory rate of reimbursement indicated above.

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