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
yes
nothing
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.
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.
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.
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.
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!
File a claim with both companies. The companies will pat what they are supposed to pay.
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.
primary and secondary demand
Crocodiles are secondary consumers. They feed on primary consumers such as gazelle, zebra, deer, etc.
Voltage on primary/Primary turns = Voltage on secondary/Secondary turns