Billing for co-pay from Medicare if pt has Medi-cal.

[DebiJ2014]

Can a private practice that is not contracted with Medi-cal bill the pt for the Medicare copay when the pt has Medi-cal as a secondary coverage? I believe the practice cannot bill for the Medicare co-pay since the pt has Medi-cal as a secondary coverage. I am looking for something current in writing to support this.

 

[avon4117]

Are you talking about medicaid? If so then no you cannot bill the pt. Medicaid will process saying paid because medicare paid the maximum allowed amount.