Primary insurance adjustment billed to secondary insurance

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Primary insurance adjustment billed to secondary insurance

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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?

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Asked on September 27, 2024
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