Medical Billing Forum

General Category => General Questions => Topic started by: lizhorizon on November 14, 2012, 02:36:04 PM

Title: Secondary billing basics
Post by: lizhorizon on November 14, 2012, 02:36:04 PM
I just started doing my own (DME) electronic billing instead of using a clearinghouse and I have a lot to learn.  How do I do a secondary billing?  Do I include primary payment information?
Title: Re: Secondary billing basics
Post by: rdmoore2003 on November 14, 2012, 03:06:25 PM
when you are submitting a claim to a secondary insurance, you must also send copy of the primary's eob.
Title: Re: Secondary billing basics
Post by: Michele on November 19, 2012, 09:52:49 AM
Or if your clearinghouse allows secondary billing you need to check with them to see how to record the primary info.
Title: Re: Secondary billing basics
Post by: davidharvey on December 17, 2012, 06:22:22 AM
Recived eob from primary and they made payment and applied a portion to co-ins, deductible or non covered.
Bal billed secondary who we are contracted with, they paid nothing and reduced amount owed by patient to just the co-insurance and deductible.
Title: Re: Secondary billing basics
Post by: PMRNC on December 18, 2012, 11:00:40 AM
Sounds like a carve out plan, to which case you can only collect what's in the patient responsibility fields of the EOB.