Author Topic: primary and secondary insurance (Read 2997 times)

rdmoore2003 · « **on:** September 02, 2009, 06:08:03 PM »

if a client has 2 insurances, isnt the following correct?

client has blue cross insurance-(we are ppo provider) claim is sent to bc and payment is made and the provider discount is still placed in account. then secondary insurance is filed along with copy of bc eob.

or

bc payment is made and entire remaining account balance is sent to secondary.

the first is the correct one right?

PMRNC · « **Reply #1 on:** September 02, 2009, 06:42:38 PM »

Whether there is 2 or 3 or even 4 carriers involved each PPO adjustment should be made at the time the payment is posted.
So yes the first scenario would hold true as long as you mean that the "adjustment" is taken at the time the payment is posted. You wrote:

Quote

and the provider discount is still placed in account

rdmoore2003 · « **Reply #2 on:** September 02, 2009, 06:46:38 PM »

YES, THANK YOU HAVE YOU EVER HAD A DAY THAT IS SO BAD THAT YOU SECOND GUESS YOURSELF.

PMRNC · « **Reply #3 on:** September 02, 2009, 07:39:23 PM »

Quote

YES, THANK YOU HAVE YOU EVER HAD A DAY THAT IS SO BAD THAT YOU SECOND GUESS YOURSELF.

Yes, I call them MONDAY's!

Michele · « **Reply #4 on:** September 03, 2009, 09:52:27 AM »

Sometimes everyday is Monday!

Medical Billing Forum · « **Reply #4 on:** September 03, 2009, 09:52:27 AM »

Steve Verno CMBS, CEMCS · « **Reply #5 on:** September 03, 2009, 12:22:09 PM »

MIne is any day that ends in "Y"

rdmoore2003 · « **Reply #6 on:** September 03, 2009, 07:42:35 PM »

Well at least everyone is in agreement on one important subject.

Medical Billing Forum · « **Reply #6 on:** September 03, 2009, 07:42:35 PM »

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