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secondary Ins.

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margemib:
Hi Michele,
I was wondering can you send in secondary claims electronicly?
If so how do you get the EOB to go along with that?
margemib ???

Bev:
I'm in Pennsylvania and the experience that I have with secondaries is that you have to send them in on paper as you need to submit the primary's EOB along with the bill to the 2ndry ins; otherwise, they would not get the 2ndry EOB if you sent the 2ndry claim electronically.  One exception I encountered was with Medicare Region B.  If the patient's 2ndry was set up to "cross electronically", then the 2ndry claim is sent electronically by Medicare along with an electronic version of their EOB to the 2ndry ins.  Sometimes, though, when you have to refile for whatever reason to the 2ndry payer(never received, denied, etc.), you have to send it paper with a paper EOB.  I hope this helps!

Michele:
Secondaries can be sent electronically.  Your Practice Management system will have a way that you enter the info from the primary eob.  Your electronic vendor must set you up for secondary billing, and some of the insurance carriers require testing, but it can be done.  If all the info is entered into the PM system you don't have to attach the eob.

Michele

Bev:
:DThis is great information to know! (No software I have every worked with has been set up that way.)

Michele:
For us it was our electronic vendor.  We just needed the right script.  It pulls the info from the practice management system and puts it in the right format.  We love it.  No forwarding eobs & claims on paper!  :)

Michele

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