Billing > Billing
PI-xx and OA-xx | Secondary billing
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bobjase:
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!
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