Moving balance to the patient for COB denials

Good morning. I wanted to hear how other organizations are handling moving money into patient balances when you have COB denials. Do you leave the money pending the insurance and wait for the patient to contact their insurance or do you move the money to the patient and send a bill to prompt the patient to call. Do you send letters, make patient phone calls, send auto texts, etc.? If you do send the patient a bill, what is your process? Do you wait 30 days, 45 days, etc. to see if the patient calls in and if they don't you move it, do you move it right away? How do you handle these? Thank you in advance for your responses.

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