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How do dual participation or primary and secondary insurer rules apply when one of the insurers is an HMO?
Wiki User
∙ 8y ago
Check this page http://www.steveshorr.com/law_relating_to_insurance.htm for links to various insurer's sites on this subject
Wiki User
∙ 8y ago
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Will secondary private insurance pay deductible from the primary insurance?
Some will. Check with the secondary insurer.
When other insurers are initially lialbe for payment on a medical service or supply provided to a patient medicare classifies them as the-------- payer?
"liable" ... The other insurer is the primary payor.
How long does the secondary insurance carrier have to pay a bill once the explanation of benefits is received from the primary carrier?
Normally, the health care provider will collect primary and secondary insurance information from the patient at the time of treatment. The provider will bill both insurers, and the primary insurer will pay its share. Both insurers are subject to the "prompt pay law" of the State in question, and payment by the respective companies of their shares must be made within that period. Otherwise, there is at least a technical violation of the State's Insurance Code. The "prompt pay law" may provide that the late-paying insurer must pay interest on the late payment.
How do you determine which is the primary and secondary insurer if you and your spouse both have medical insurance coverage?
It goes off the month in which the parent was born! Who ever was born 1st is primary. It does not go off the age!
When other insurers are initially liable for payment on a medical service or supply provided to a patient Medicare classifies them as the payer?
Those other insurers would be the "primary" insurers.
Your husband has medicare and a health plan from his employer which plan should be the primary plan?
Where I work, the employer plan would be secondary and medicare would be primary. It might depend on how the company has it set up but I can't imagine any company today wanting to be the primary insurer.
Why do insurance companies need reinsurance?
Reinsurance is essentially insurance for an insurer. That is, it is insurance which the primary insurer (one that issues policies directly to the public) buys to ensure that it has sufficient funding to pay expected claims that may be incurred during the policy period. State insurance regulators require that primary insurers have and maintain sufficient levels of capital and reserves to pay expected claims. Depending upon the amount of capital and reserves, the insurer is permitted to issue a stated dollar amount of primary insurance. One of the ways that the primary insurer can meet the statutory requirements, other than by having all capital and reserves in cash or cash equivalents, is through a reinsurance structure that is approved by the financial authorities of the state insurance regulator.
Difference between primary server and secondary server?
Primary Means, it is individual there is no dependence, But Secondary will allays depends on Primary, If you want to do Secondary, you should complete primary first, There is no precondition to primary, but for Secondary Primary is the Precondition, first you should do primary, then only you are able to do secondary.
What is primary and secondary victim?
primary: Raul Secondary: Julie
What is Primary demand and secondary demand?
primary and secondary demand
Do you need to obtain prior authorization from your secondary insurance even if the primary insurance will be billed first?
Your secondary insurance has different PA criteria than your primary insurance. A PA means that your insurer will only cover a service under certain circumstances; company A may cover a service for 3 conditions and company B may only cover the same service for only 2 conditions. Your primary could pay and your secondary may not.
Can the secondary insurance provider deny a claim that was not filed with the primary insurance provider first?
Let me tell you what happend to me. I hope that this helps. I used to be covered by two insurance companies. My primary insurance company was through the company that I worked with. My secondary was with the company that my husband works with. When a claim was filed with my secondary insurance company they wanted to know how much my primary insurance company paid for and until then they would not pay anything. So I had to submit to my primary insurance company and once they paid some then the secondary would. I hope that this helped:) * Yes. A claim must always be made with the primary insurer first.
