Hi! I'm still pretty new here, and think this forum is great! I have recently started at a PT office, and have a ques. about who gets an overpayment.
We had a patient with 3 insurances. Medicare, BC/BS and Aetna. We billed MC and they paid the 80% allowable, and for some reason wasn't forwarded to BC/BS, so I billed them as secondary. They only paid $8.xx on the $84.xx left. So I billed Aetna, sending both of the previous EOBs. They mailed me a check last week and one yesterday for 100% of Medicare charges on the dates they've paid so far.
Normally (on the rare occasions a pt had 3 ins), the 2nd and 3rd each will pay the 20% minus copays/deduct, so we reimburse the pt the few dollars over.
The previous office manager/biller told me not to pay back the ins co until they notice and request it, but in this instance I think I need to call Aetna...what are your thoughts??
Thanks, bren