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What happens when your secondary insurance overpays your claim?
Wiki User
∙ 11y ago
if it goes under payment account audit they will find out eventually and try to recoup whatever the overpayment was for that claim.
Wiki User
∙ 11y ago
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What does the dental office have to do when a dental insurance company overpays on a claim?
Refund the money to the insurance company and bill the patient for the difference.
What happens when your primary insurance does not have a hospital in network but your secondary insurance does?
File a claim with both companies. The companies will pat what they are supposed to pay.
If your primary insurance denies a claim for failure to have a referal will your secondary insurance pay the claim?
Read your policy
Can your doctor bill you before submitting a claim to your secondary insurance?
Yes. Your doctor is not required to file to your secondary insurance.
IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?
yes
Will secondary insurance cover claims denied by your primary insurance?
As long as it is a covered expense by your secondary insurance and a claim has been filed with the primarty insurance then the answer is yes. The secondary insurance will only cover the expense according to your plan.
When is it appropriate to file a patient's secondary insurance claim?
nome
How does full coverage insurance work for hit and run with no secondary party?
you would have to claim it on your own insurance.
If the primary insurance allows more than the secondary insurance what would the secondary insurance pay?
Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.
When should you submit a claim to a secondary insurance company?
After you have received the Explanation Of Benefits (EOB) from your primary carrier if there is coordination of benefits. If the secondary insurance is an indemnity you do not need to wait.
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.
What does the word payer mean in terms of health insurance?
The primary /secondary payer is usually the insurance plan covering the claim
