Wiki secondary insurance

[klnowell0809]

HI,
I get so confused with secondary. I billed 200
Primary allowed- $169.93
Paid- $135.94
Contractional obligation- $50.07
PR- $33.99 coinsurance
Secondary allowed- $180.40
Paid 27.06
contractional obligation $175.54- the impact of prior payer adjudication including payments and or adjustments
PR $27.06 coinsurance.

How do I apply secondary and what is the patient charged?
thanks

 

[vanessamoldovan]

HI,
I get so confused with secondary. I billed 200
Primary allowed- $169.93
Paid- $135.94
Contractional obligation- $50.07
PR- $33.99 coinsurance
Secondary allowed- $180.40
Paid 27.06
contractional obligation $175.54- the impact of prior payer adjudication including payments and or adjustments
PR $27.06 coinsurance.

How do I apply secondary and what is the patient charged?
thanks

This is a great question and I know that it can be frustrating. I would recommend posting this in my Facebook Group, For the Love of Revenue Cycle. We have thousands of experienced and knowledgeable billers, coders, etc. who would be able to help answer this question. For The Love of Revenue Cycle | Facebook

 

[sls314]

HI,
I get so confused with secondary. I billed 200
Primary allowed- $169.93
Paid- $135.94
Contractional obligation- $50.07
PR- $33.99 coinsurance
Secondary allowed- $180.40
Paid 27.06
contractional obligation $175.54- the impact of prior payer adjudication including payments and or adjustments
PR $27.06 coinsurance.

How do I apply secondary and what is the patient charged?
thanks

The patient would be billed $6.93.

Primary insurance left $33.99 coinsurance to patient. The secondary insurance paid $27.06 of that, leaving $6.93
remaining for the patient.