Primary allows and applies 77.59 to deductible w/o is 82.41
secondary allows 63.74, pays 43.74 w/ 20 copay, w/o is 96.26
what is the patients balance. We are contracted with both insurances. I thought the balance would be 0 since the w/o of secondary is more than prime, but my co-worker disagrees thinks the balance should be the difference between the w/o amounts 13.85?
Can someone clarify how you handle secondary balances.
1. When secondary allows more than prime and
2. When they allow less then prime?
Thank you!
secondary allows 63.74, pays 43.74 w/ 20 copay, w/o is 96.26
what is the patients balance. We are contracted with both insurances. I thought the balance would be 0 since the w/o of secondary is more than prime, but my co-worker disagrees thinks the balance should be the difference between the w/o amounts 13.85?
Can someone clarify how you handle secondary balances.
1. When secondary allows more than prime and
2. When they allow less then prime?
Thank you!