When we submit a bill to secondary insurance, how are we supposed to act on the Claim Adjustment Reason Groups?
For example, after billing a primary insurance, I might have something like:
- Charge: $350
- Provider Paid: $215
- CO-45: $70
- OA-96: $20
- PI-103: $10
- PR-2: $35
(I made up the Claim Status Reason Codes (e.g. 103), because my question is about the GROUP CODES - i.e. CO/OA/PI/PR)
If the patient has secondary insurance, I can obviously pass along the $35 PR-2, but am I also allowed/supposed to bill the secondary for the PI and OA amounts?
Meaning: Do I bill the secondary for $35? $45? $65?
Thanks in advance!
