contractual adjustments

  1. B

    Wiki Medicaid as Secondary Contractual Obligation Write off

    I have a patient with commercial insurance as primary, Medicaid as secondary. I'm not sure that their claims paid out properly. We charged $185 for a service - the primary payer determined they owed $85, the patient owed $25 copay, and the contractual write-off was $75 We sent in a secondary...
  2. J

    Wiki Co-96

    Hi, We have a few claims who denied payment because of reason code CO-96 (Non covered charges ) from Primary as well as Secondary insurance. Can we bill this to patient? Please advise. Jay
  3. M

    Wiki Confused about Billing-Need Help

    HI, I have a few questions and hope someone here would be a great resource with some help! My first question is about contractual obligations/adjustments. Normally practices/providers have their charged/billed amount as above the medicare allowable. So say they bill 99214, $125 is their...
  4. D

    Wiki Deana

    I recently received a remittance from Noridian Medicare (Hawaii) Part B. One of the claims that was processed on the remit had an additional adjustment I had never encountered previously. This patient has a dual plan. Medicare/Medicaid. Enrolled with straight Medicare and has HMSA (BCBS of...
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