Wiki Flu Shot Billing! HELP

[nbktgid]

If a patient have a Private Primary insurance and a medicaid secondary insurance are you suppose to bypass the primary insurance and only bill the secondary insurance for the flu shot?

 

[teresabug]

Medicaid is always the payer of last resort, so you'll want to bill the primary insurance to get the denial to bill Medicaid. Otherwise, you would get a denial from medicaid more than likely stating "other payer primary".

 

[nbktgid]

Does it matter if it is in a hospital setting? If it's a state stocked vaccine can you still bill a private insurance or do you bypass the primary and only bill medicaid (straight, OFC or HKP?)

 

[bonn715]

you still have to bill the primary first for any service when on MA, they will deny for Coordination of Benefits otherwise