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Wiki REASON CODE PR-275

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Pkirsch1

Networker
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Bristol, CT
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Is reason code PR-275 patient's responsibility? Is this something new for Blue Cross/Blue Shield?
 
It is the patient's responsibility. Not sure if it's new or not. Every BC/BS plan is different and I personally haven't seen one as a secondary that doesn't cover for that code, but it is a legit reason.
 
Best guess is that the BC/BS copay/coinsurance is the same as or higher than primary and they will not cover. I know in Ohio we have an insurance that never covers anything as the secondary. Bill the patient for that primary copay.
 
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