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