Author Topic: BILLING A MASS STATE INSURANCE  (Read 1091 times)

antaylor

  • Newbie
  • *
  • Posts: 1
BILLING A MASS STATE INSURANCE
« on: May 30, 2008, 09:04:00 AM »
IF THERE IS SOMEONE WHO LIVES IN THE STATE OF MASSACHUSETTS AND FAMILIAR WITH BILLING BOSTON HEALTH NET PLEASE HELP. OR IF THERE IS SOMEONE FAMILIAR WITH MY QUESTION PLEASE HELP.
MASS REVS IS SHOWING THAT PATIENTS HAVE BOSTON HEALTH NET OR BOSTON HEALTH NET COMMONWEALTH.
BMC IS NOW STARTING TO TAKE BACK MONEY BECAUSE PATIENTS ARE COMMING UP AS HAVING A PRIVATE INSURANCE ON THE SAME DATE OF SERVICE.
THE PRIVATE INSURANCE IS NOT SAYING THAT THEY ARE NOT INNELIGIBLE BUT THEY ARE PUTING TO THE DEDUCTABEL OR PAYING A LITTLE PORTION OF THE CHARGE. WHAT DO I DO WITH THE RAMAING OR THE CHARGE THAT WAS PUT TO THE DEDUCTABLE. CAN I SEND IT TO BOSTON HEALTH NET OR IS THE PATIENT RESPONSIBILITY?

FROM MY EXSPERIENCE WITH BOSTON HEALTH NET IT IS LIKE ANOTHER PRIMARY INSURANCE.

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4710
    • Solutions Medical Billing
Re: BILLING A MASS STATE INSURANCE
« Reply #1 on: May 31, 2008, 08:55:46 PM »
Hi,
   I don't have experience directly with Boston Health Net so if someone else does I hope they will respond.

However, it sounds like you need to be billing Boston Health Net as the secondary, indicating to them that the patient has a primary insurance but that they either paid nothing due to deductible, or paid very little.  Then Boston Health Net should pay on the balance.

Hope that helps.
Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com