billing secondary insurances

[Sportsmom]

Can someone please help me with a question on billing secondary insurances?
Our biller does not think she should bill a secondary insurances for a
 Co-pay that is under $ 20.00 or if they have a big deductible. She picks what ones she bills and does not bill.  I have also billed secondary no matter what; I also have always understood you have to bill all or none.
Any help would be great,
Thank you

[Pay_My_Claims]

more and more providers are not billing secondary insurance except for Medicare & medicaid. The hassle of billing a secondary claim for minimal charges is the reason. If you are not billing, it should be an across the board policy, and not a pick and choose.

[kwardbilling]

I do bill for secondary, I haven't had a problem, although as everyone has stated,not a huge amount of money, but, I find it fair to my clients, as I get whatever is due them financially if you know what I mean, if I didn't bill secondary, I feel they are losing out, even if it is minimally. 

[Sportsmom]

Thank you for your help. To me billing the secondary is about the patient it helps them.

[Michele]

It may also be breaking the contract to NOT bill.  The provider should be checking into that.  And as with Charlene, it shouldn't be 'pick and choose' based on how she feels that day, it should be an across the board policy.

Michele

[DMK]

Absolutely bill the secondary.  There are instances where the secondary pays more than the primary, so the doctor's reduction is less. 

I also agree that if you're contracted with the secondary insurance company you MUST bill the secondary!

We are here to serve the doctors so that they are paid appropriately, but also to serve the patient so they get all the benefit they've paid for!

[dfranklin]

I agree with everyone here. You definately should do it across the board if you decide not to bill the 2nd but more importantly I don't think anyone should not bill the 2nd for the reasons already stated: You should capture every dollar possible for the Doctor and lower any costs the patient should have to pay especially since that is due them, and provide the service you agreed to in the first place. Anything less I think you are not standing up to your part of the agreement. (not to mention you could be going against your contract with the carrier if you don't bill the 2nd).