answersLogoWhite

0

Iam glad to answer your question,

No, your hospital cannot bill you for the balance. When they "accept assignment" on a claim, they should accept the BCBSTX's maximum allowable charge as payment in full. When your Other Health Insurance (OHI) pays more than the BCBSTX maximum allowable charge, they have paid in ful.

---GokulaKrishnan

User Avatar

Wiki User

13y ago

What else can I help you with?

Related Questions

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

yes


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

nothing


What are the primary winding and secondary winding of a transformer?

The primary winding is the winding connected to the supply, while the secondary winding is the winding connected to the load. The terms, 'primary' and 'secondary' are unrelated to voltage levels.


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.


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.


When you file the secondary claim with the primarys EOB months later can the secondary claim past timely filing if claim was filed soon after receiving payment from primary?

If the secondary payor is contracted then there should be langauge regarding how long you have to file once the primary EOB is received. You may also have to provide a screen print to show your original filing to the secondary payor was timely.


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!


What happens when your primary insurance does not have a hospital in network but your secondary insurance does?

File a claim with both companies. The companies will pat what they are supposed to pay.


Difference between primary server and secondary server?

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.


What is Primary demand and secondary demand?

primary and secondary demand


Is the crocodile a primary consumer or a secondary consumer?

Crocodiles are secondary consumers. They feed on primary consumers such as gazelle, zebra, deer, etc.


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