• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Question Primary & secondary copay COB

Create Wiki Sort by votes
L

lindsey@foxworthbilling.net

New
Messages
1
Location
college station, TX
Best answers
0
If a patient has primary and secondary commercial insurance plans, can the secondary insurer require the patient to pay the secondary copay? In this instance, the secondary insurance carrier is contracted at a higher rate with the provider.
EX. Primary copay is $30, but the contracted rate is $110.30. Secondary remit acknowledges the primary payment, pays the primary copay of $30, but leaves a $40 patient responsibility because the secondary contracted rate is $114.01.
 
0
lindsey@foxworthbilling.net said:
If a patient has primary and secondary commercial insurance plans, can the secondary insurer require the patient to pay the secondary copay? In this instance, the secondary insurance carrier is contracted at a higher rate with the provider.
EX. Primary copay is $30, but the contracted rate is $110.30. Secondary remit acknowledges the primary payment, pays the primary copay of $30, but leaves a $40 patient responsibility because the secondary contracted rate is $114.01.
Click to expand...

If the primary plan had a copay of $30 and the secondary payer made payment of $30, I'd consider the account resolved.

The patient doesn't have 2 copays just because they have 2 insurance plans.
 
You must log in or register to reply here.
Top