Billing > Billing
secondary Ins.
Pay_My_Claims:
Misys has that ability with the utilization of the clearing house Payerpath. Our tech didn't have it set up correctly for 2ndary's at first, but once it was done.........ahhhhhhh love
margemib:
Michele,
Also can you tell me what the guidelines are for billing a secondary Ins co for a provider that is a non-par or a par,
after receiving a EOB what charges can you bill for?
margemib
Michele:
You have to bill the secondary the exact same charges that you billed to the primary so that they match the eob. You print out a CMS form for the same claim that you billed to the primary and attach the primary eob. It doesn't matter whether the dr is par or not.
Michele
Bev:
Can you tell me how you know this? (Trying to convince others is difficult sometimes, so I would like give your source.) Also, will the secondary accept a "non-par" denial from the primary insurance, ex. We are non-par with the primary, but we are par with the 2ndry. Thank you!!
margemib:
Michele,
Do you have to adjust the amount according to the EOB on the secondary claim, someone said if the doctor is a par you cannot charge the secondary for the difference between the amount billed and the amount allowed, only a deductable or co-pay, is this true?
margemib ???
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