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help please

  1. Default help please
    Medical Coding Books
    Patient and spouse both have insurance. Do I go by who's birthday falls first in the calander year as to who's is primary? I havent worked in so long I cant remember for sure.
    thanks

  2. #2
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Quote Originally Posted by macdarlen View Post
    Patient and spouse both have insurance. Do I go by who's birthday falls first in the calander year as to who's is primary? I havent worked in so long I cant remember for sure.
    thanks
    If the patient has insurance and the spouse does also the patients insurance is always primary and the spouse is secondary, and vise versa. The birthday rule applies to the dependents, if they take their child to the doctor the parent who's birthday falls closest to the beginning of the year would be the primary and the other spouse would be secondary. I hope this helps you!
    Angie Olson, CPC

  3. Post birthday rule
    Has anything recently changed regarding the birthday rule? I'm seeing several couples with BCBS, and the insured patient's plan is taking money back stating "we are adjusting the benefit determination due to coordination of benefits information".
    Thanks for any help.

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