So this patient has Aetna Indemnity... only pays $600 max per surgery. So If I bill that primary... then Medicaid is secondary. What does this mean for us and reimbursement? Will I end up only making $600? Will the patient pay the remaining amount? Medicaid never picks up anything secondary and we lose so much because of that. Do I bill Medicaid? Do I write everything else off? Can I bill the patient? So confusing...