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How long does the secondary insurance carrier have to pay a bill once the explanation of benefits is received from the primary carrier?
Normally, the health care provider will collect primary and secondary insurance information from the patient at the time of treatment. The provider will bill both insurers, and the primary insurer will pay its share. Both insurers are subject to the "prompt pay law" of the State in question, and payment by the respective companies of their shares must be made within that period. Otherwise, there is at least a technical violation of the State's Insurance Code. The "prompt pay law" may provide that the late-paying insurer must pay interest on the late payment.
What else can I help you with?
When should you submit a claim to a secondary insurance company?
After you have received the Explanation Of Benefits (EOB) from your primary carrier if there is coordination of benefits. If the secondary insurance is an indemnity you do not need to wait.
Why does my Explanation of Benefits (EOB) say that I owe money, but I have not received a bill?
Your Explanation of Benefits (EOB) may indicate that you owe money because it shows the amount that your insurance company will not cover for a particular medical service. This does not necessarily mean that you will receive a bill immediately. It is important to review your EOB carefully and contact your healthcare provider or insurance company for clarification on any charges.
What does the term transfer from insurance mean on a medical bill?
While waiting for your insurance to process your claim, it is listed in our billing software as insurance responsibility. Once we have received the payment and/or eob (explanation of benefits) from the insurance, the amount due from the patient is then transferred in our system to the patients responsibility. We are literally transferring the responsible party from the insurance to the patient.
Can you collect Workers Comp and Disability Insurance in the State of Mass?
Yes, the disability insurance payments can be paid on top of any workers comp payments received, if the policy's benefit is not integrated with any supplemental benefits. If your disability insurance policy is integrated with supplemental disability benefits, then the disability payments will be offset dollar for dollar by any mount received from workers comp or social security. That's why when you get a disability insurance policy, it is advised to include all or most of the disability benefit amount as "base benefit" which does not offset by any supplemental benefits received.
What benefits do south African teachers get?
A South African teacher usually received health insurance as one of their benefits. They also receive a 401K and paid holidays and vacations.
Is it required to make a primary dental insurance adjustment if the dentist is a preferred provider before submitting a claim to secondary insurance?
You wait until both claims are received then write off the lesser of the two amounts
What can you do when you received a letter of cancelation for health benefits but not one for dental benefits from the insurance company so you were unaware and now they refuse to pay dental?
Pay your bill. You, not the insurance carrier, are responsible for making sure you have active coverage and for all outstanding charges not covered.
If you received SS Disability will you have to pay it back when you apply for SS retirment?
No, you do not have to pay back Social Security Disability Insurance (SSDI) benefits when you apply for Social Security retirement benefits. The SSDI payments you received are considered a form of Social Security benefit, and they do not need to be repaid upon transitioning to retirement benefits. However, the amount of your retirement benefits will be calculated based on your earnings history, including the time you received SSDI.
What term is used for benefits received by the families of deceased workers?
The term used for benefits received by the families of deceased workers is "survivor benefits." These benefits are typically provided through workers' compensation programs, life insurance policies, or pension plans, and are designed to offer financial support to the dependents of the deceased. The specific entitlements can vary based on the policies and regulations in place.
With Primary and Secondary Insurance your primary denied your claim because it was over a year is your secondary obligated to pay?
Yes, subject to the limits in their policy. No. With most insurance policies, there is what is called a timely filing limitation. For my company; contracted providers have 6 months, and non-contracted providers have 12 months to submit the claim. If your primary insurance received the claim within timely filing, you may have the option of submitting the claim to your secondary with proof that it was filed in a timely manner. If that doesn't work you can always appeal the decision with the secondary or for that matter the primary insurance company. Policy holders are not responsible for claims that deny for timely filing.
Are employer financed supplemental unemployment severance benefits an offset to long term disability?
A disability insurance policy can have two main categories of benefits: base benefit and supplemental benefit. Only the supplemental disability benefit can be reduced or offset by any other benefits received (including SS disability, Workers' Comp, or any other employer benefits). The base benefit will not be offset by any other benefits received.
Have you received a check from your health insurance provider?
Yes, I have received a check from my health insurance provider.
