Author Topic: Medicare Secondary payment  (Read 1376 times)

Sriram_Sub

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Medicare Secondary payment
« on: June 27, 2013, 08:02:11 AM »
I have a scenario where a patient having Regence Blue Shield primary and Medicare secondary. I have given the details of a sample claim below. Kindly help.

Billed to Regence - $100.00
Allowed by Regence - $80.00
Paid by Regence - $0.00
Applied to deductible - $80.00

Billed to Secondary medicare - $80.00
Allowed by Medicare - $70.00
Paid by Medicare - $60.00
Co-insurance applied - $10.00

My question here is, can we bill the member for the $10.00 co-insurance or will it be a write off, as medicare's allowed amount is lesser than that of Regence. Please advise.

Regards
Sriram
Sriram

rdmoore2003

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Re: Medicare Secondary payment
« Reply #1 on: June 27, 2013, 09:29:38 AM »
Bill the patient.   We have had this on the forum many times.   Even if you are par. with both insurances.   
Regina

Sriram_Sub

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Re: Medicare Secondary payment
« Reply #2 on: June 27, 2013, 09:56:17 AM »
Thanks Regina.  :)
Sriram