0
Want this question answered?
Be notified when an answer is posted
Add your answer:
Earn +20 pts
You want blue cross to be primary and medicare to secondary can you do that?
No. There is a federal law that requires Medicare is a secondary payer. You can find more information on the CMS website under "Medicare Secondary Payer and You."
Can a secondary payer deny a claim after medicare has paid?
Yes, if the claim does not meet the secondary payor's eligibility rules; such as the patient being uninsured on the date of service.
Who is the primary payer when member has employee group and medicare?
Generally, Medicare is primary.
What is the largest third party payer?
Medicare
If a person is still working at full retirement age does he have apply for medicare benefits?
Effectively, yes. Even if you have other health insurance, Medicare requires that they become the first payer, and your other insurance becomes secondary. It is possible, but cost-prohibitive, to decline Medicare coverage.
Give an example of a third party payer?
Medicare
(Blank) is the largest third-party payer in the U.S.:?
Medicare
Can you work while considered disabled and still get Medicare insurance?
Try searching the Social Security webiste here http://www.ssa.gov/dibplan/index.htm Medicare would be considered a secondary payer and would have to have an EOB from the primary company before they could pay
Which HIPAA transaction is used to send information from a primary payer to a secondary payer?
claim status
What is the largest third party payer in the nation?
It is the Government through the Medicare program.
Would Medicare be your primary or secondary insurance?
We have Medicare and added on Anthem. Does that mean Medicare is primary (Paying 80 percent) , and Anthem is secondary?
Does medicare part a pay the difference after Blue Cross which is primary carrier paid most of the claim for skilled nursing facility I have a 290 balance due the nursing facility?
Medicare does offer coverage for skilled nursing facilties. In order to find out if Medicare will pay as your secondary, the provider needs to submit it to Medicare. This statement is from the Meidcare.gov website: Medicare providers must submit claims (bills) to Medicare for you, whether Medicare is your primary or secondary insurer. For Medicare to process a claim as a secondary payer, the provider must give your primary insurance information to Medicare. You may also consider calling 1-800-Medicare for information about secondary coverage. If you do, remember from Nov 15th to Dec 31st is a busy time for Medicare so it may be difficult to reach them. One more hint to save some frustration: If BlueCross BlueShield has already paid the amount they were supposed to pay, calling them won't really help you because their job is done. Now the remaining bill is between the provider and Medicare.
