answersLogoWhite

0


Best Answer

I will use for example someone on MEDICARE.

They have paid into their medicare insurance and have both parts (thus eliminating confusion of part a, part b).

First the bill is sent to the Medicare insurance provider, who will have an allowed amount and then of that what they will pay. The billing medical source credits what MEDICARE paid and then submits the balance to the 2nd or CO-INSURANCE. As a whole, if MEDICARE pays 90%, the CO-INSURANCE picks up the balance of 10%.

These figures were used as an example. You will have to know your own breakdown of what percentage is paid. Remember is is on the ALLOWABLE or APPROVED amount, not the whole billing. Most insurance such as MEDICARE and personal insurance through a work place, have a provider adjustment. Then the % is taken from there. PRIVATE holders of medicare and co-insurance my not have the luxury of an adjustment of cost. And will have to cover what is left.

User Avatar

Wiki User

โˆ™ 2013-05-04 02:07:40
This answer is:
User Avatar
Study guides

Nutrition

21 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

โžก๏ธ
See all cards
4.45
โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…
11 Reviews

Add your answer:

Earn +20 pts
Q: How is billing handled for a patient with dual insurance?
Write your answer...
Submit
Still have questions?
magnify glass
imp
Related questions

What does it mean for a patient to have dual insurance coverage?

This refers to the case in which a patient is insured by more than one insurance plan. For example, a Medicare patient is generally covered for 80% of charges for a physician visit. In this case , he or she would usually be responsible for the remaining 20% of charges. However, if he or she has dual insurance coverage and is also covered by a supplemental plan. Medicare plus, this secondary plan would generally pay the amount not covered by the patient's primary insurance plan, Medicare.


In which countries does Dual Insurance operate?

The Uninted States currently allows the use of two or more insurance coverage for a single patient. For example, in some situations a patient may submit a medical claim to a state or nationwide insurance (such as Medicaid) as well as a private insurance company to cover the difference.


The insurance company with the first responsibility for payment of a bill for medical services is known as?

The Primary is the first responsiblity of medical billing and if you have dual then the secondary will cover what the primary does not if not its out of pocket or Dudctible


Where can one get a dual insurance deal for their mopeds?

One can get a dual insurance deal for their mopeds when one goes to the site of TD to get quotes, or go to the site of Intact Insurance and Insurance Motorcycle.


If you have dual insurance can you submit claims on both?

What do you mean by dual insurance? You cannot have two auto insurance policys on one car. If you mean can you claim damages (let's say) from the 'at fault' party and then also claim them under your collison coverage, no you cannot.


What is a dual policy in insurance?

A Dual life insurance policy covers two people, though independently. It is effectively like having two single policies where cover will pay benefits on the death of both insured.


What are the rules regarding having dual health insurance after retirement?

assuming you mean at age 65 or beyond, medicare becomes the primary insurance, and your other insurance becomes a medicare supplement.


I am trying to find out about Medicare/Medicaid co-payment responsibility with dual coverage?

Your state may have varying laws about dual coverage, but generally speaking, if you have a primary insurance, they will pay first. Any co-pay or deductible that your primary coverage does not pay will be covered by government insurance.


Who receives the benefits in a situation with a second to die life insurance policy?

The children or heirs of the deceased will receive the benefits in a situation including a second to die insurance policy. It is also goes by the terms "Dual Life Insurance" and "Survivor-ship Insurance".


Husband has hmo dental insurance and i have delta dental does this mean we have dual coverage?

It means you each have a different insurance company. If you had both HMO dental coverage and Delta Dental (and the veteran in me has to ask: "for God's sake, WHY Delta Dental?") active at the same time, that would be dual coverage.


Can you have dual car insurance on one car in state of ca?

Why would you want to? You would pay twice as much and if there is a claim the insurance companies will split the cost of the payment. It is illegal for you to attempt to profit for a loss on an insurance policy.


What are some ways to receive discounts with Unitrin Car Insurance?

Unitrin is now known as Kemper Specialty Insurance. Some ways to receive discounts with Kemper include to have a dual policy of auto and home insurance and adjust the deductible amount.

People also asked