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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.

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10y ago

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When a secondary insurance allows more than primary allowed can you keep overpayment?

If I'm not mistaken, and I could be wrong, when the secondary insurance allowes more than the primary, the primary contractual adjustment is voided and the contractual obligation of the secondary should be applied. This will cause the balance to be zero when the adjustment of the secondary is the reflecting contractual obligation. That is how I was taught and it does make sense.


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