Medical Billing Forum

Payments => Insurance Payments => : mrsmeck June 05, 2012, 03:17:35 PM

: Allowables with two insurances
: mrsmeck June 05, 2012, 03:17:35 PM

If a patient has Aetna insurance as a primary and BCBS as a secondary...

Aetna Allowable: $105
Aetna Paid: $83
Coinsurance: $22

BCBS Allowable: $80

Can we balance bill the patient the $22 since Aetna's allowable as primary is more than BCBS and they will not be issuing payment for the $22??

Thanks for any help in this matter...

: Re: Allowables with two insurances
: DMK June 05, 2012, 03:43:57 PM

If you're PAR with BCBS I don't believe that you can bill the patient for the balance.

: Re: Allowables with two insurances
: PMRNC June 07, 2012, 04:23:00 PM

If you're PAR with BCBS I don't believe that you can bill the patient for the balance.

That's correct, if you were non par then you could collect up to the Aetna Allowable.