If primary insurance ( and they say allowed amount for charge is $120) pays $100 and then has contractual adjust of $100 and says coinsurance balance is 20 dollars. Then when you send it to pts secondary insurance they say allowed amount was only 102.00
( and contractual amount should be 118)
and they pay nothing and say pt responsibility is 2 dollars.
??? does pt owe 2 dollars or 20 dollars????
I see this on occasion and no one seems to be sure of the answer.
thanks
( and contractual amount should be 118)
and they pay nothing and say pt responsibility is 2 dollars.
??? does pt owe 2 dollars or 20 dollars????
I see this on occasion and no one seems to be sure of the answer.
thanks