Medical Billing Forum

Payments => Patient Billing => Topic started by: mbspecialsit on July 08, 2010, 04:50:12 PM

Title: "bill Medicare for my copay"
Post by: mbspecialsit on July 08, 2010, 04:50:12 PM
Someone please HELP!!!

I have a patient that has BCBS, she has a $25 copay. She has been refusing to pay her copay,
insisting that her secondary, Medicare will cover any and all her copays. She also states that
we are the only office that asks her for a copay. What?!?!?!?  ??? I have never known
Medicare to pay any copays. Is this something new? If, so I haven't heard anything.

Please advise.
THANKS!
Title: Re: "bill Medicare for my copay"
Post by: PMRNC on July 08, 2010, 07:15:18 PM
HUH?  If she has a secondary why are you not filing it? Of course it's heard of that there are secondary's that pay the copay's.
Title: Re: "bill Medicare for my copay"
Post by: Pay_My_Claims on July 08, 2010, 08:52:38 PM
HUH?  If she has a secondary why are you not filing it? Of course it's heard of that there are secondary's that pay the copay's.

exactly
Title: Re: "bill Medicare for my copay"
Post by: mbspecialsit on July 28, 2010, 12:22:53 PM
I know that secondary insurance does pay. My question was if Medicare actually pays. I know that if the
primary insurnace paid more than Medicare allowed, Medicare will not make any payments. I guess I just answered my own question. 
Title: Re: "bill Medicare for my copay"
Post by: DMK on July 28, 2010, 12:59:38 PM
I have Blue Cross primary (with a co-Pay) and Medicare secondary patients.  Medicare will pay the copay up to the Medicare allowed amount.
Title: Re: "bill Medicare for my copay"
Post by: dekenn on August 10, 2010, 11:31:27 AM
A further question...  ???
What about the balance?
Patient has BCBS primary, medicare secondary.
BCBS allows 104.00, pays 74.00, patient's copay $30.00
Patient does not pay copay, asks to bill Medicare.
Secondary claim goes to Medicare...
Medicare allowable is 80.00, therefore pays 6.00 (up to medicare allowable).. can we bill the patient for the balance of their 30.00 copay (24.00)????
Title: Re: "bill Medicare for my copay"
Post by: Pay_My_Claims on August 10, 2010, 05:41:51 PM
A further question...  ???
What about the balance?
Patient has BCBS primary, medicare secondary.
BCBS allows 104.00, pays 74.00, patient's copay $30.00
Patient does not pay copay, asks to bill Medicare.
Secondary claim goes to Medicare...
Medicare allowable is 80.00, therefore pays 6.00 (up to medicare allowable).. can we bill the patient for the balance of their 30.00 copay (24.00)????


what did the Medicare EOB state as PR??? 
Title: Re: "bill Medicare for my copay"
Post by: dekenn on August 12, 2010, 09:41:47 AM
$0.00