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This does not sound like an auto policy, is this medical? If so, you are responsible for the copay. I would contact your benefits administrator.

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โˆ™ 2005-10-12 14:39:55
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Q: If the primary charges a 200 copay the secondary pays nothing do you owe the 200 copay on the primary if secondary states 0 owed by patient Where can you find this info?
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Related questions

If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?

non covered charges according to the medicare remittance. Medicaid will pick up the 20% of medicare covered charges.

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.

If Medicare is primary who is responsible for secondary copay?


What is primary and secondary succession?

Primary comes from nothing and secondary comes from a previous community.

What happens if primary insurance is PPO and secondary insurance is HMO?

When a DPPO is primary coverage, the charges paid by the patient are based on the agreed DPPO discounted fees--not the DHMO schedule of charges. The dentist would bill the DPPO for the procedures performed. If the dentist is in the DHMO network, he or she would also get his or her regular capitation payment for that patient.

Do the primary dental insurance rules govern the allowed charges from the dentist?

The answer to the question, is it depends. State laws on coordination of benefits (CoB) can impact the answer, but there is a general rule of thumb. If the dentist participates in a network that is connected to the patient's coverage--whether that coverage is primary or secondary, the participating network contractual relationship determines the amount that can be collected from the patient.Here's a table that was developed by the National Association of Dental Plans outlining various CoB scenarios and what determines the charges to patients under each.PATIENT COVERAGEWHAT THE DENTIST CHARGES THE PATIENTPrimary and secondary coverage are both DPPOs; Office participates in both network plans.The DPPO allowances of the primary plan.Primary coverage is a DPPO, and the secondary coverage is an indemnity plan.The DPPO allowances of the primary plan.Indemnity plan is primary, and the secondary coverage is a DPPO.The DPPO allowances of the secondary plan. Primary coverage is an DHMO, and the secondary is an indemnity plan.The DHMO patient co-payments. (The secondary indemnity plan may cover all or most of these co-payments.)Indemnity plan is primary, and the secondary coverage is an DHMO.The DHMO patient co-payments. (The primary indemnity plan may cover all or most of these co-payments.)Primary coverage is a DPPO, and an DHMO is the secondary plan.The DPPO allowances of the primary plan.Primary coverage is an DHMO, and the DPPO is the secondary plan.The DHMO patient co-payments. (The secondary DPPO plan may cover all or most of these co-payments.)NOTE: Discount dental plans are not subject to COB laws and regulations as they are not insurance products.

What happens when one is covered by two insurance plans?

That is if the secondary does not have a clause in it that "they will not duplicate benefits" If so they will not always pay the difference. They will figure out the amount they would normally pay, subtract what the primary pays from that amount and pay the difference (which with mine is little to nothing and I end up paying the balance of the bill) Nothing really happens, one is the primary and the other is the secondary insurance for the patient. Primary insurance will pay up to 80% of allowed charges if the deductible is met, and the secondary insurance will pay the remaining 20% of the claim, again, if the deductible for the year has been met.

If a patient has Medicaid coverage benefits and other health insurance coverage Medicaid would be primary or secondary?


When will secondary health insurance not pay?

if primary paid more than allowed amount or if patient has primary insurance

When other insurers are initially liable for payment on a medical service or supply provided to a patient Medicare classifies them as the -----payer medicare secondary primary secondary or supplement?


When a primary insurance pays more than the secondary allowable is the remaining balance the patient's responsibility?

Yes it is patient responsibility

What was the difference between primary and secondary schools in ancient rome?


How do you get medicare as your primary insurance if you have horizons select as your primary you want to change?

You cannot decide which insurance is primary and which is secondary. Their is nothing you can do to determine this. Within each policy it specifies when each policy is primary or secondary. With Medicare, it is always going to be secondary to insurance provided by an employer or retirement plan.

How do you determine primary and secondary coverage for an adult patient covered by two full benefit polices?

Check this page for the answer primary policy will be medicare&secondary will bethe patient's commercial insurance medicare covers all.the remaining which is not allowable wiill be covered by secondary

What is difference between primary and secondary?

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.

If Primary insurance paid more thatsecondary would allow. Is patient responsible for deductible and coinsurance?

Is the patient responsible for deductible and coinsurance if primary insurance paid more than secondary would have allowed.

How is the primary and secondary winding transformers wired?

A transformer' primary winding is connected to the supply, whereas its secondary winding is connected to the load. The term's 'primary' and 'secondary' have got nothing to do with voltage levels.

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.

IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?


What is Primary demand and secondary demand?

primary and secondary demand

A transformer has 20 primary windings and 100 secondary windings If the secondary voltage is 25 V find the primary voltage?

Voltage on primary/Primary turns = Voltage on secondary/Secondary turns

How does the current in the secondary of a transformer compare with the current in the primary when the secondary voltage is twice the primary voltage?

The current in the secondary when the voltage is twice the primary, will be one half the primary.

Is Secondary succession can happen after primary succession or independently of primary succession?

Secondary succession can happy after primary succession . Secondary can be independent but is not usually independent from primary succession.

Are the giant pandas primary consumer secondary consumer or third level of consumer?

Its A Secondary Consumer. As We Just Learned About That In Secondary School.

Is a grassland a primary or secondary succession?

is the grass lands primary or secondary