Total Members Voted: 6
Here's another one of those secondary questions.. Sorry, I seem to have a lot of them lately We have a patient that had surgery, 4 separate procedures.Medicare is her primary, and they allowed and paid their portion for all 4 procedures.Horizon NJ Health (managed medicaid program) is her secondary... According to their policy, they pay 100% of first procedure, 50% of second procedure and 25% of third procedure. No other procedures will be paid. period. doesn't matter if it was processed by medicare and that it's a legitimate bill.So, they only covered half of what medicare said was patient responsibility for the 3rd procedure and none for the 4th.Can I bill the patient?