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Thread: birthday rule

  1. #1
    Join Date
    Apr 2007

    Default birthday rule

    AAPC: Back to School
    where would I find the birthday rule to send with claims to get paid. aetna doesnt want to pay because the parents have not called them to tell who is primary and who is secondary

  2. #2
    Join Date
    Apr 2007


    Insurance companies are well aware of the birthday rule. I have found that they will not update any COB information until they get a call from the parents to give them all the information regarding both insurance carriers. Until then you will have trouble with both carriers. I suggest a call or letter to the parents to get them to call their carriers and update both of them. Hope that helps.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Bill the parents

    When we get a "denial" for additional information pending," we wait one billing cycle for patient/parents to contact insurance. Then we send the patient/parent the bill.

    We've found if we send the bill to the parents they get on the phone with their insurance company pronto.

    Hope that helps.

    F Tessa Bartels, CPC, cEMC

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