Ok then I am sending patient bill for $50.Thank you.
EX: 99213UHC(pri) billed allowed ded $85 $73.93 $73.93Cigna(sec)billed allowed ded $85 $53.22 $53.22HSA paid $53.22.Should the $20.71 be w/o or billed to pt.
What if they have a medicaid hmo as their secondary? And the medicaid hmo won't pay because primary payment is over their allowable. For instance, Primary is aetna, with a $20.00 copay. Aetna pays $48.54 and patient responsibility is the copay. Send to secondary (whose normal allowable is $44.00), they pay nothing.Can we bill the patient the copay?THanks