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Should you write off some of the primary adjustment fee if the secondary payment pays more than the amount of the remaining fee after the primary coverage and adjustment was made?


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2005-10-26 23:18:39
2005-10-26 23:18:39

Yes! And in the future, don't make ANY adjustments until all of the benefits have been paid. Might be a hassle at first, but once you have your own "system" in place you will save yourself alot of trouble like this, and it will make for a much cleaner account history and A/R report when someone else has to research the paperwork.


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A contractual adjustment is made by the billing department in a hospital in order to charge a patient's insurance company. The result is that the patient is not responsible for payment.

Payment of insurance is nothing but the premium paid towards the insurance policy. The premium amount includes the charge of coverage per unit (for example, the charge of coverage for $1000 might be $10. So, to have an insurance coverage for $10,000 the charge of coverage would be $100) plus the expenses incurred by the insurance company for the policy.

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The word "adjustment" when used in the context of insurance means:The monetary amount an insurance "adjuster" has determined is the appropriate payment to be made to an insured person for a claim that is covered under the insurance policy.

If you're auto payment is included in your bankruptcy, then yes, they will require you to keep full coverage as long as there is a secured balance on the vehicle.

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When a patient has primary and secondary insurance plans and there is a CO Bcarve out clause on their secondary plan this is what happens. Primary pays their amount and secondary subtracts primary's payment from what they were suppose to pay and pays the difference. Example: Primary pays 50% of a filling which cost $100.00 and secondary pays 80%. Primary pays $50.00, secondary would pay $80.00, therefore, secondary would only pay $30.00 of the remaining $50.00. It is a very confusing issue and I have been in dental for over 25 years and I still have a hard time explaining this to patients.

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No, only when you are required to have full coverage insurance and you dont, and the obvious that you do not make a payment.

If you put medical insurance on the policy when the policy was purchased.

after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.

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Nah, I'll pay it for you. Yeah, of course you have to pay your hospital bill. Insurance and health coverage plans can help you out if you need it. You can also negotiate a lower payment or a payment plan.

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