View Full Version : Private Fees

lorraine knapp
23-04-2007, 01:07 PM

Can anyone offer any advice on charging private fees like To whom it may concern letters and get them to pay up front for this service by an invoice system.

I am finding that our secretary is spending a lot of time chasing insurance companies for payment along with patients for work we have done but not received any payment for.


24-04-2007, 09:22 AM
We send a standard letter to insurance companies when we get an initial request saying they have to pay in advance, we keep the patients details to hand but do nothing with them. If the insurance company do not respond to this within 21 days we just file the request with a 'Did not respond to fee' note on it. We have been doing this for a few years and it has incurred no problems and the chasing about is done by the insurance companies rather than the practice. There are some exceptions - police - social services that sort of thing. With regard to 'To whom.....etc' letters we charge 9.50 to the patient and do not give them the letter until they have paid the fee.



26-04-2007, 11:37 AM
We receive requests for medical reports etc and log them into a folder. We then send an invoice to be paid in advance. Included in this is our own consent form which is designed to have more clarity as often patients/clients have signed to release ALL of their records without really understanding this and it has created problems for us in the past. We do not complete any medical work until payment has been received, as often situations such as pending court appearances can delay payments for years! :eek:

Once a solicitor/insurance co etc have parted with their money, we complete the reports. They soon chase up if they have paid and the onus is then on them. We felt the other way round, we were adding to our work load which by rights should be elsewhere.

We have a standard fee of 50 which we invoice when notes are required to be copied. Due to the obvioius differences in sizes of notes, on some we gain on some we lose. It does, however, take away the need for counting pages in advance and sometimes this is not possible until we know exactly what the patient is authorising us to release.
Recently a solicitor has quoted BMA rates to us and insisted that as they received only 4 pages they should only be charged 4 x 35p and 10 admin.

What do other practices do? Thanks.

lorraine knapp
08-05-2007, 08:39 AM

We charge a standard 50 regardless of the size of the file, this way it evens itself out with those large files to the smaller files.


lorraine knapp
08-05-2007, 08:40 AM
We charge a standard 50 regardless of size

19-06-2007, 01:21 PM
For photocopying medical records we cost it all, we do count how many paper copies have been made and charge @ 38p per page, we add on a cost of admin at 10 and 10 for producing computerised records, as the computerised records are now getting so much larger we put these onto a disc and send them with the photocopies so no printing has to be done

For things like travel letters/sick letters we charge 10 and add VAT on this as well as non-NHS work so total cost to patient is 11.75 and they have to pay before they can take the letter

Jerry Cooke
22-06-2007, 11:37 AM
We charge 25 for one Lloyd George, and 50 for anything larger.