Payments > Insurance Payments

Medicare Secondary payment

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Sriram_Sub:
I have a scenario where a patient having Regence Blue Shield primary and Medicare secondary. I have given the details of a sample claim below. Kindly help.

Billed to Regence - $100.00
Allowed by Regence - $80.00
Paid by Regence - $0.00
Applied to deductible - $80.00

Billed to Secondary medicare - $80.00
Allowed by Medicare - $70.00
Paid by Medicare - $60.00
Co-insurance applied - $10.00

My question here is, can we bill the member for the $10.00 co-insurance or will it be a write off, as medicare's allowed amount is lesser than that of Regence. Please advise.

Regards
Sriram

rdmoore2003:
Bill the patient.   We have had this on the forum many times.   Even if you are par. with both insurances.   

Sriram_Sub:
Thanks Regina.  :)

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