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medicare secondary

  1. K

    Wiki Chronic Care Management - Medicare Secondary

    Hello! If we have a patient with private BCBS as primary and Medicare Part B as secondary, can we still bill for Chronic Care Management? I am thinking yes, because they are technically a Medicare patient, but I can't find anything to say it's okay to bill this to a commercial payer. The...
  2. S

    Wiki Billing with primary and secondary insurances

    Looking to verify the proper patient responsibility to bill them in the following scenario as well as the proper rationale. Primary insurance is a high deductible plan through BCBS and allows $3000.00 to the patient's deductible for a patient's surgery on the $5000.00 billed charges. We do not...
    • sharonc2222
    • Thread
    • balance billing medicare secondary out of network out-of-network patient responsibility
    • Replies: 10
    • Forum: Billing/Reimbursement
  3. S

    Wiki Medicare Secondary allowing more

    I have a patient that came in and had 4 procedures performed. Patient has UHC primary and Medicare secondary. Our UHC only allows 3 procedure codes. The first 3 codes were paid by UHC and the last one was denied CO-97. We then sent the claim to Medicare for the UHC coinsurance. They paid the...
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