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commercial payer

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Wiki Billing Secondary commercial payers

Hi everyone :) Wondering if anyone could help answer my question in Billing the secondary commercial plan. Just an FYI- Primary is also commercial. Which amounts do we bill the secondary plan? The all amounts that the primary did not cover including denied procedures? Only patient...
- droque
- Thread
- Jun 16, 2022
- billing billing secondary commercial billing commercial payer
- Replies: 1
- Forum: Billing/Reimbursement
M
Wiki Clinical UM guidelines for commercial plans

I haven't had to look at the medical policy manual of a commercial plan for several years. In that time, things have changed. Many require a provider to have a log in to access any such documents. Besides contacting each plan to get a copy of their coverage / UM guidelines or Policies, is there...
- Mrsrpc
- Thread
- Dec 10, 2021
- commercial payer medical policy manual utilization management
- Replies: 0
- Forum: Billing/Reimbursement

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