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Medicare as Secondary Payer Allowables

  1. #1
    Default Medicare as Secondary Payer Allowables
    Exam Training Packages
    Please help me!!! I need documentation!!!

    This is the situatation - Aetna was the primary insurance and they allowed $1218.18. $350 was applied to the deductible and $163.23 was applied to the coinsurance. Medicare paid $191.14 applied $135.00 towards the deductible and $48.06 towards the coninsurance. My physicians state that if the primary allowable is $1218.18 Medicare has to pay by these standards, but I spoke with a Medicare rep and they state that they have their own allowables and what I have left over needs to be written off. Does anyone know where I can get this information in writing????

    Thanks,
    Stephanie W.

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    http://www.cms.hhs.gov/manuals/downloads/msp105c03.pdf

    Maybe you will find this helpful.

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