I have a question that i really hope someone could help me with.
What do you in the case that a patient has a primary and secondary and the secondary allows more than the primary so the account now looks like an overpayment. I do know that as long as your contracted with both then it would not be a true credit back to the insurance (secondary), but what do you do in the case that the secondary sends for ex 45.00 to pt resp is the pt supposed to pay that? Are we supposed to just reverse the primary payers adjustements? Im so confused and i have a lot of accounts like this, i hope what i said made since?
Here is an ex:
Bcbs (primary)
allow>106
pd>>>>84.84
pt resp>>21.20 (co-ins)
aetna (secondary)
allow>165.34
pd:>>>>35.50
pt resp>>45.00 (copay)
so with the info mentioned above in the system when its posted it looks like a credit of $14.30. What am i supposed to do with the pt resp of 45.00 for the secondary insurance??????? Helppppppp!!!!!!!!!!!!
What do you in the case that a patient has a primary and secondary and the secondary allows more than the primary so the account now looks like an overpayment. I do know that as long as your contracted with both then it would not be a true credit back to the insurance (secondary), but what do you do in the case that the secondary sends for ex 45.00 to pt resp is the pt supposed to pay that? Are we supposed to just reverse the primary payers adjustements? Im so confused and i have a lot of accounts like this, i hope what i said made since?
Here is an ex:
Bcbs (primary)
allow>106
pd>>>>84.84
pt resp>>21.20 (co-ins)
aetna (secondary)
allow>165.34
pd:>>>>35.50
pt resp>>45.00 (copay)
so with the info mentioned above in the system when its posted it looks like a credit of $14.30. What am i supposed to do with the pt resp of 45.00 for the secondary insurance??????? Helppppppp!!!!!!!!!!!!