No-Show Policy Recommendations
(Behavioral Health Benefit)
Published: October, 2001
This section applies to PBH network practitioners who provide
services to a member under their managed care benefit plan.
The provider may bill the member for the missed appointment
if the practitioner has reviewed his/her No-Show Policy in
advance with the member and if the member fails to notify
the provider 24 hours prior to the missed appointment.
Review your No-Show Policy at the time of your first
appointment
Give specific instructions to the member about who he/she
should call to cancel the appointment
Have the member sign a written form acknowledging that
you have verbally explained your policy of requiring 24
hours notice for canceled appointments
The member is to be notified that he/she will be financially
responsible at the PBH rate for no-shows and late cancellations
If a member misses two appointments, you have the option
to refer the member back to PBH if you choose not to reschedule
them
PBH does not routinely reimburse providers for patient
no-shows.
On the next
page is an example of an agreement form which you may
use if you desire.
