Payments > Insurance Payments

Dealing with Primary and Secondary Insurance Writeoffs/Payments

(1/3) > >>

I have a question regarding what to do when a secondary insurance pays more than the remaining balance on the claim (after primary insurance has paid).  Example: Bill is $100.  Hypothetically, we will say BCBS pays $20 & asks us to write off $50 leaving a $30 balance.  Well then lets say we bill the Seconday correctly same claim with copy of primary BCBS eob.  Then the Secondary, Cigna comes back and pays $35.  Can you reverse the primary writeoff to balance out the patient's bill/account?  Or is this truely considered an overpayment and must refund the secondary?

Assuming you are par with both you write off the balance of the plan with the higher allowable.  NOW keep in mind that some secondaries are private or supplemental plans insureds pay for out of pocket, many seniors are "over" insured, this CAN mean the patient will get back MORE from a visit and it's perfectly legal because they are paying the premiums on that supplemental or private plan.

Presented in part at the 39th Annual San Antonio Breast Cancer Symposium, San Antonio, TX, December 6 10, 2016 <a href=>pregnancy and doxycycline</a> Genetically induced adult oligodendrocyte cell death is associated with poor myelin clearance, reduced remyelination and axonal damage

Monitor Closely 1 antithrombin alfa and celecoxib both increase anticoagulation <a href=>lasix generic</a>

A study published in the current issue of Breast Cancer Research and Treatment suggests that the black cohosh supplement RemiFemin Menopause can safely relieve menopausal symptoms in women with a history of breast cancer who cannot take oestrogen <a href=>over the counter fertility drugs</a>


[0] Message Index

[#] Next page

Go to full version