Is it legal for a dental insurance company to deny coverage as a secondary provider?
Yes, it can be and no it may not be. You did not give enough information for a determination.
Usually, the primary carrier pays their maximum, then the secondary carrier pays some or all of the portion of the procedure that is left BUT not more than the claim itself or more than they would have paid if their contract was primary.
Here are some reasons why it could be legitimate to deny your claim. You could have hit the limits of the secondary policy. There could be a provision in the secondary policy that it does not cover the procedure that you had or that says it does not pay anything if it is secondary. The latter is somewhat unusual but worth checking for.
Did you ask the carrier why they denied it? If they do not point to a specific provision in your contract, ask them to. If they do not, your state Insurance Department should have a consumer representative that you can ask for help in determining whether it was legitimate for them to deny coverage.
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… Read More
Coverage for dental implants varies from one insurance company to another. Most of the insurance policies provide some coverage for the restorative procedure. You can ask your insurance provider if dental implants are covered or not.
The insurance follows the vehicle so your own insurance company would be primary. However, if you don't carry the comprehensive coverage on your own policy and your friend has a vehicle with comprehensive coverage, his coverage would be secondary and pay for the damages.
Your personal auto coverage will not cover their vehicles. What they are probably asking for is to make sure you have coverage in case you drive your vehicle on errands or such for the company. If you go to the post office to get the company mail your personal auto insurance will be the primary insurance and then if they have an endorsement to their insurance called "hired and non-owned auto" it will provide secondary… Read More
Combined Insurance is a global provider of supplemental insurance, including accident insurance, life insurance and critical care coverage. Combined Insurance operates in North America, Latin America, Europe and the Pacific. The company is headquartered in Glenview, Illinois.
Complete Coverage Insurance is the type of company referred to as an independent insurance agency. They provide insurance coverage for automobile, home, health, business and life.
That would depend on each individual insurance company. COBRA is often available but very cost prohibitive. Contact your insurance provider for more information.
Why are you advertising AIG insurance company as THE provider of non-owner auto liability insurance when the do NOT sell such coverage?
AIG, like most other companies, will only sell this coverage in conjunction with either a general liablity policy or a commercial auto policy. It is not available as a stand-alone coverage.
Golden Rule Insurance is an insurance company offering various health insurance coverage plans, auto insurance coverage and homeowners insurance. They are affiliated with Unites Healthcare Company and are based out of Indianapolis, Indiana.
Can you change your secondary insurance to primary insurance if your coverage is better with the secondary insurance?
In most cases no. You can not chage due to better coverage. 90% of insurance companies, if not more, have what is called a birthday rule. Meaning if you have dependant children on the policy the guardian who was born first (or who is older) is the primary carrier for the dependant children and the younger of the two guardians is the secondary carrier. If you were to have coverage through yourself and a spouse… Read More
You should double check with your insurance company to see how your policy is written, but usually your insurance would kick in as secondary coverage and you would be covered.
You are required by law to have liabilty coverage, but not collision coverage. If you did not have collision coverage then you are not due any compensation by your insurance company. If you did have collision insurance and the insurance company will not pay, then you may be able to sue the insurance company, but you cannot sue the state.
Health Insurance Company
Can Secondary Insurance not pay anything on claim if Medicare pays more on claim than they would if they were primary?
Yes, If medicare pays more than the secondary insurance allows for a charge, the secondary insurance pays nothing. The balance is written off to a contractual allowance that is agreed upon between the provider of service and the insurance company via contract.
In an auto accident in California do you bill your auto insurance as the primary insurance or your health insurance?
If you have both medical insurance and auto insurance, the primary company billed will depend on the situation. If your injuries and medical costs were caused by an auto accident and you carry Medical Payments coverage, you will bill your auto insurance provider. If you do not carry Med Pay insurance coverage, as it is optional in the state of California, the circumstances will depend on who is deemed at fault for the accident. If… Read More
If your insured with one company and you drive another vehicle that's insured by another company and you get into an accident wich insurance company pays for it?
The Owners Vehicle Policy offers primary first pay coverage. Any policy carried by the driver would invoke as secondary coverage.
If some company or information provider such as a credit bureau has inaccurate information on you, you would need to contact that company to have that erroneous information corrected. Otherwise you will likely have more insurance companies deny you coverage based on the same erroneous information. The insurance company is not responsible for inaccurate information maintained by a totally separate business entity such as a credit bureau.
Call your agent or your insurance company.
they can't actually "require" it but any insurance can contract with Medicare to be secondary, provided both parties agree
Homeowners Windstorm Insurance Most homeowners Insurance Policies come standard with Windstorm Coverage unless you are in certain high risk areas. If your policy does not already have windstorm coverage and you need or prefer to have it you should contact your Insurance agent to ask about adding it to your policy. If the company you are currently with does not offer t he coverage for your area you may need to purchase through another provider.
When a primary insurance payer pays 0 on a 1000 bill and a secondary pays 700 with a 700 contracted amount do you have to pay the difference 300?
With out a doubt...yes. Unless your dentist is a contracted provider through your insurance company, in that case they might have to adjust your account to what the contracted (allowed) fee is per the insurance company. If they are not a contracted provider they don't have to adjust one dime!
Getting covered or low cost dental implants will depend highly on your insurance company and plan. Consult with both your insurance provider and preferred dentist to discuss your coverage and payment options.
Health insurance coverage varies greatly from company to company and from individual coverages.You will need to contact your provider to find out if you are covered and the extint of the coverage. Also, contact your surgeon who did your implants to find out who the manufacturer of the implants were.Sometimes the manufacturer will replace a deflated implant at no cost for the implant , you still have to pay for the surgery.
Yes, That's how it works. The insurance company sells you coverage in the form of an insurance policy and you pay a premium in exchange for that coverage. If you don't pay for the coverage then your not covered.
The secondary insurance cover both pays and co-pays of the primary insurance depending with the insurance company.
The new insurance company is asking for proof of prior insurance coverage. Some insurance companys have what they call a "proof of prior" discount. This means that you may qualify for a discount if you can prove you had previous insurance with no lapse in coverage. Be sure to ask your insurance agent for a further explanation.
Yes all caravan insurance policies include contents coverage. But when in doubt, it would be best to contact your insurance agent or insurance company and verify the coverage in your policy.
Which was the first commercial insurance company in the United states to provide private healthcare coverage for injuries not resulting in death?
The Franklin Health Assurance Company of Massachusetts, in 1860, was the first insurance company to provide this coverage.
What notification is sent from the insurance carrier to the patient and the provider after an insurance claim has been processed?
The Insured Person will receive an EOB (Explanation of Benefits) from the insurance company which explains the payment by the insurance company, the allowed charge based on contract rates with the provider, and the remaining amount if any that is due from the patient to the provider.
It depends on the insurance coverage, and what caused the wreck. But allowing the coverage covers the incedent the insurance company will pay the VALUE DETERMINED BY THE INSURANCE COMPANY. Not what you think it was worth. I have about $40,000 in a car the insurance comapny will pay $3,000 for if it gets wrecked.
A commercial insurance company or a managed care plan participating provider is a provider that is in network of participating providers. These providers can be doctors, nurses, dentists, or other practitioners.
You have had payments for claims recouped because the insurance company was secondary the primary insurance company is denying the claims recouped due to timely filing Is there anything you can do?
If your health insurance is thru your employer, have them contact their account rep. These issuse can be magicaly resolved when it is time to renew the company policy, if the rep is informed thast the company will seek another provider should it not be taken care of.
Chubb Insurance Company is located in Canada and offers breakdown coverage. This coverage is great for those that travel and that are on the road often.
Can an In Network provider offer a discounted Self Pay package to a patient as an alternative if they are contracted with their insurance company?
In most cases the provider can not. The provider is obligated to bill the insurance. The reason is such transactions can lead to insurance fraud.
Lightning is covered under Comprehensive coverage, if the vehicle has that particular coverage on it at the time of the incident. If you have that coverage is place, file a claim with your insurance company, and you should be compensated for your loss, minus the deductible.
Well, Actually you don't. The insurance company assesses the risk you present when you apply for insurance. The company then determines the Premium and may or may not make you a offer of coverage. You can then either accept the coverage offering or reject it.
Can you receive financial compensation from your employer if you do not take your employer's health insurance?
Yes. A company may offer a credit if you decline insurance as long as you have other coverage. If you dont have other coverage you can't opt out of insurance if offered by your company
MEGA is a unique life and health insurance company. They offer many different types of insurance including ambulance coverage, inpatient and outpatient coverage, and preventative care coverage.
What is the Written authorization form policyholder for their insurance company to pay benefits directly to the care provider?
What is the written authorization form policyholder for their insurance company to pay benefits directly to care provider
Some major health insurance companies may cover emergency dental care, but every insurance company is different and may handle the emergency coverage differently. Check with your insurance provider to see if they offer this type of care.
Whatever coverage amount you wish and that the company will accept, You can obtain liability insurance on vacant land.
"Often times, yes. The amount of coverage will vary from company to company, as some will offer more than others. Research the company's provider and rates and decide for yourself if the benefits are suitable for you and your family."
No, they shouldn't be billing you for the provider discount if the hospital is contracted with the health insurance plan.
Are health care providers obligated to accept payment from a secondary insurance at their fee schedule when the provider does not participate with the the patient's primary insurance?
It has been my experience that providers of health care are not obligated to accept secondary or even primary insurnace coverages if they are not under contract with that insurance company. I believe they are free to accept no insurance coverage at all and demand "cash" up front if they so desire. This would leave it your responsibility to sent the bill to your insurance(s) carrier(s) and get direct payment assuming they cover out of… Read More
From individual point of view, good insurance means adequate coverage of insurance. From Company point of view, it denotes good performance of an insurance company.
Aegis Insurance is a leading mutual insurance company. The company provides property and liability coverage. They also provide risk management services.
Insurance coverage refers to a sort of policy for which one pays premiums to ensure that they are helped should disaster strike. The most common coverage is auto insurance, where the insurance company will pay the cost of repairing a car should you have an accident.
What is the question
Either go to the HR department where you work or contact your insurance company directly. The company will need this in writing. Make sure there is no lapse in coverage.
tell your insurance company and the police and your insurance company will pay everything except the deductible. If you have full coverage than your insurance is required to make good on the damage. It is up to your insurance company to try and get their money back from the uninsured driver of the other vehicle.