Medical Billing Forum

Payments => Insurance Payments => : MDO VN November 07, 2008, 05:06:30 AM

: Primary paid in full
: MDO VN November 07, 2008, 05:06:30 AM

Michele,

I have one more question: if secondary (HMSA HMO) pay $0 due to primary (HMSA PPO) paid in full, but balance (subcriber owes) is still $15 (as per EOB of primary). In this case, should we bill patient $15?

Thanks,
Kristy

: Re: Primary paid in full
: Michele November 07, 2008, 09:06:25 AM

Yes, you need to record that the secondary processed the claim but didn't make payment, and then bill the patient.

Michele

: Re: Primary paid in full
: MDO VN November 09, 2008, 10:33:47 PM

thank you for your answer :)