It depends. The first question to be answered is whether the medical provider has negotiated a contract with that insurance company. If not, then the secondary is responsible for 100% of the balance left by the primary--no adjustments allowed. The entire balance must be paid by either the insurance company, the patient, or any combination of the two. It's different if there is a contract in effect with the carrier. Nowadays, many insurance companies process those claims in any one of several ways. They can compute how much they would have allowed (the total of ins resp + pt resp) had they been primary. Having done that, they'll subtract the amount pd by the primary and pay the balance--if there is one. If the primary had paid more than the secondary would have allowed had they been primary, the secondary may not pay anything and the balance left would have to be adjusted off. Sometimes the secondary doesn't consider what the primary paid at all, and both companies will pay as primary..it can make a difference whether the other insurance that is listed as primary is an individual or a group policy; and the same for the secondary. Group plans trump individual plans. When they both pay as primary, and neither insurance has processed the claim incorrectly and the provider has now ended up with a legitimate credit balance on the claim, the provider has 3 choices at that time. They can refund the balance to the insurance plan that created the credit balance; they can send the overpayment amount to the patient; or they can keep the money and deposit into their account.
I work for a medical provider myself and dude dont worry if u get away with this in the court of law medical providers generally bill it to the medical insurances but for a letter i dont think it will help.
That's entirely up to the provider.
Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.
You wait until both claims are received then write off the lesser of the two amounts
Yes they will have to accept payment from the secondary insurance, however they will have to bill the primary provider first. What ever the primary insurance does not cover should be covered by the secondary insurance. However, it will depend on the service being provided and the contracted amount that each insurance has agreed to pay. If the primary pays more than the secondary would have paid -there may be a refund due. However, there may be co-pays and deductibles to be met with both insurance policies. There could also be write downs--- you should only pay the lesser amount the provider may have to take a loss if one insurance has a lower contracted amount
write detail note on secondary storage devices
Yes. By your contract with the secondary insurance you are required to write-off the discount
How do you write loan request for Medical Treatment to Company for wife's operation
medical billing
Someone writing "for 24 hours" in medical abbreviations would typically write "x24h"
I am working at the medical college. I am enrolled in the medical college. It's according to the whole sentence.
It is very important when writing this kind of letter to include the following things: contact information, social security number, any reference or account numbers you have from provider bills,and the date of the procedure.