Hi,
I'm working on this secondary billing claim from an on-line course and have questions. Here goes. A patient has insurance at her work and also covered with her husband's insurance. She (the patient) paid the bill in full at time of services. Her insurance company was charged $120.00 for the services, insurance did not cover $37.50, the insurance allowed $82.50, the patients deductible was $10.00, coinsurance was $7.25, benefit amount was $65.25.
EOB deductible summary as follows:
with this payment, total deductible amount for Sally $100.00
for the year has been settled
with this payment, total deductible amount for the $300.00
Smith family for the year has been met.
Patient Summary:
Total benefit amount for all claims submitted: $65.25
This claim was paid on behalf of Blue Cross of IA.
My question is: Do I file a secondary claim or not?
Thank you for all your help.
Windy Miller
