Author Topic: primary and secondary insurance  (Read 1874 times)

rdmoore2003

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primary and secondary insurance
« on: September 02, 2009, 03:08:03 PM »
if a client has 2 insurances, isnt the following correct?

client has blue cross insurance-(we are ppo provider)  claim is sent to bc and payment is made and the provider discount is still placed in account.  then secondary insurance is filed along with copy of bc eob.   

or

bc payment is made and entire remaining account balance is sent to secondary.

the first is the correct one right?
Regina

PMRNC

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Re: primary and secondary insurance
« Reply #1 on: September 02, 2009, 03:42:38 PM »
Whether there is 2 or 3 or even 4 carriers involved each PPO adjustment should be made at the time the payment is posted.
So yes the first scenario would hold true as long as you mean that the "adjustment" is taken at the time the payment is posted. You wrote:
Quote
and the provider discount is still placed in account
Linda Walker
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One Stop Resources, Education and Networking for Medical Billers
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rdmoore2003

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Re: primary and secondary insurance
« Reply #2 on: September 02, 2009, 03:46:38 PM »
YES, THANK YOU   HAVE YOU EVER HAD A DAY THAT IS SO BAD THAT YOU SECOND GUESS YOURSELF.
Regina

PMRNC

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Re: primary and secondary insurance
« Reply #3 on: September 02, 2009, 04:39:23 PM »
Quote
YES, THANK YOU   HAVE YOU EVER HAD A DAY THAT IS SO BAD THAT YOU SECOND GUESS YOURSELF.

Yes, I call them MONDAY's!
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michele

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Re: primary and secondary insurance
« Reply #4 on: September 03, 2009, 06:52:27 AM »
Sometimes everyday is Monday!
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Steve Verno CMBS, CEMCS

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Re: primary and secondary insurance
« Reply #5 on: September 03, 2009, 09:22:09 AM »
MIne is any day that ends in "Y"
I'l have a double chubby chuck, a mexicali chilibarb, and two cherry cokes
Left hand Blue, Right Leg Green
You got your peanut butter on my milk chocolate.
Dont cut the blue wire! 
I love spam.

rdmoore2003

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Re: primary and secondary insurance
« Reply #6 on: September 03, 2009, 04:42:35 PM »
 :D  Well at least everyone is in agreement on one important subject. 
Regina