UHC is the primary on this claim, with BC/BS as secondary. UHC's allowable amount is lower than BC/BS. So here is the breakdown
UHC Allowed Paid BCBS Allowed Paid
Code 1: $ 70.57 $55.54 Code 1: $ 88.49 $ 0
Code 2: $ 9.89 $ 9.89 Code 2: $ 13.59 $ 3.70
Pt. Resp: $ 15.00 Pt. Resp: $ 21.62
Do we accept the Primary Insurance Adjustment & apply the $3.70 towards the initial patient balance of $15 or do we shift the allowable amount to the secondary for the Code 2 payment, but leave the balance due at $15 for the copay on code 1?
Thank you for any guidance that may be offered.
UHC Allowed Paid BCBS Allowed Paid
Code 1: $ 70.57 $55.54 Code 1: $ 88.49 $ 0
Code 2: $ 9.89 $ 9.89 Code 2: $ 13.59 $ 3.70
Pt. Resp: $ 15.00 Pt. Resp: $ 21.62
Do we accept the Primary Insurance Adjustment & apply the $3.70 towards the initial patient balance of $15 or do we shift the allowable amount to the secondary for the Code 2 payment, but leave the balance due at $15 for the copay on code 1?
Thank you for any guidance that may be offered.