Hi,
I just read through a number of earlier posts relating to this topic of billing Medicaid as secondary. But I don't think I was conscious enough to find an answer that I am looking for. Here's my question...
I work for a WA based PCP and her office visits were processed by Medicare primary and the allowed amounts were partially or fully applied to the patient's deductible. When we billed Medicaid secondary, our claims were denied for the reason CO-23 "The Impact of prior payer's adjudication". When I called Medicaid (DSHS) to insist that we were supposed to get at least a portion of the deductible paid by them, I was told that nothing would be paid because of their allowed amount being lesser than the paid amount of Medicare. Is this true? If yes, do we need to write off the balance or can we bill the patients for the balance. Note: many of them are QMB. Your response would be of great help.
Regards
Anthony W
