Medical Billing Forum

Payments => Insurance Payments => Topic started by: Adnare01 on February 15, 2018, 07:24:39 AM

Title: Medicare Deductible
Post by: Adnare01 on February 15, 2018, 07:24:39 AM
Hi,

When Primary insurance Medicare transferred deductible to secondary insurance Medicaid and Medicaid denies it as paid in full..should the deductible amount be transferred to patient or to be written off?

Regards
Title: Re: Medicare Deductible
Post by: PMRNC on February 15, 2018, 09:23:16 AM
Written off in most states, The EOB will actually tell you. Most states however don't allow you to balance bill Medicare/Medicaid
Title: Re: Medicare Deductible
Post by: Michele on February 19, 2018, 10:06:52 AM
What state are you in?  Linda is correct but I'm just concerned about if Medicaid processed it correctly.  Why did they indicate "paid in full" if they didn't pay anything?
Title: Re: Medicare Deductible
Post by: Adnare01 on February 19, 2018, 11:57:38 AM
Its CHAMPS - Medicaid Michigan

Title: Re: Medicare Deductible
Post by: PMRNC on February 19, 2018, 02:20:29 PM
I'm guessing that Medicare's allowable is more and they don't pay the Medicare ded/coinsurance.
Title: Re: Medicare Deductible
Post by: Adnare01 on February 20, 2018, 04:17:29 AM
So i am inclined to think that we need to write off the balance from secondary medicaid instead of transferring balance to patient.
Title: Re: Medicare Deductible
Post by: Michele on February 26, 2018, 09:26:46 AM
Most likely yes, but I would personally contact them to just verify that information and make sure it was processed correctly.  NY Medicaid doesn't pay on balances after Medicare but they do cover the Medicare deductible.