Medical Billing Forum

Payments => Insurance Payments => : Sriram_Sub June 27, 2013, 11:02:11 AM

: Medicare Secondary payment
: Sriram_Sub June 27, 2013, 11:02:11 AM
I have a scenario where a patient having Regence Blue Shield primary and Medicare secondary. I have given the details of a sample claim below. Kindly help.

Billed to Regence - $100.00
Allowed by Regence - $80.00
Paid by Regence - $0.00
Applied to deductible - $80.00

Billed to Secondary medicare - $80.00
Allowed by Medicare - $70.00
Paid by Medicare - $60.00
Co-insurance applied - $10.00

My question here is, can we bill the member for the $10.00 co-insurance or will it be a write off, as medicare's allowed amount is lesser than that of Regence. Please advise.

Regards
Sriram
: Re: Medicare Secondary payment
: rdmoore2003 June 27, 2013, 12:29:38 PM
Bill the patient.   We have had this on the forum many times.   Even if you are par. with both insurances.   
: Re: Medicare Secondary payment
: Sriram_Sub June 27, 2013, 12:56:17 PM
Thanks Regina.  :)