dalinkatie
New
I have a patient that has BCBS as primary and UMR as secondary. We are out of network with BCBS but in network with UMR. I send the claims to BCBS first, get payment back from them and then send to UMR. My question is because we are out of network with BCBS we bill our normal amount but when we bill UMR I only bill what is allowed. In that case when I bill for this patient I bill the original amount to BCBS and then the original amount to UMR, do I need to write off anything that the two insurances pay because we are out of network with BCBS?