Payments > Insurance Payments

Allowables with two insurances

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mrsmeck:
If a patient has Aetna insurance as a primary and BCBS as a secondary...

Aetna Allowable: $105
Aetna Paid: $83
Coinsurance: $22

BCBS Allowable: $80

Can we balance bill the patient the $22 since Aetna's allowable as primary is more than BCBS and they will not be issuing payment for the $22??

Thanks for any help in this matter...

DMK:
If you're PAR with BCBS I don't believe that you can bill the patient for the balance.

PMRNC:


--- Quote ---If you're PAR with BCBS I don't believe that you can bill the patient for the balance.
--- End quote ---

That's correct, if you were non par then you could collect up to the Aetna Allowable.

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