Can a Primary insurance contractual adjustment be billed to secondary insurance?

Question

If I send a claim to a primary insurance and they pay a portion and have a contractual adjustment that covers the remaining portion of the balance leaving no patient balance, is it appropriate to send the claim to the patients secondary insurance hoping they’ll pay what the primary adjusted off, or should the claim only be sent to secondary if the patient has a balance?

Austinida · Answer

Hello! The patient's secondary insurance always needs to be billed to ensure accurate procedure history, regardless of the amount of the primary insurance's payment. Hope this helps!!

Can a Primary insurance contractual adjustment be billed to secondary insurance?

Can a Primary insurance contractual adjustment be billed to secondary insurance?

Answers (1)

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