General Category > General Questions
Billing Tertiary Claims
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Debra Maddy:
We do not want to bill tertiary claims as it is not cost effective. In calling around I have been told that I am not required to bill tertiary unless it is Medicaid. Can anyone confirm this or give me some additional feedback as it would be greatly appreciated.
Michele:
Hi Debra,
I don't blame you for not wanting to file the tertiary claims. They are a real pain. I think that if the tertiary company is a company that you participate with then you are required to file the claims. Usually it is in your contract that you must file all claims. I would check with your provider rep for BCBS or another insurance carrier to see if they require it. Hopefully, you're only looking at a few!
Good luck
Michele
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