appeal to secondary insurance
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.
Yes, and you want them to because if they are paid out of order then it will be a mess to correct.
Their insurance would be primary and your insurance would be considered secondary when filing a claim.
90 days from primary insurance payment/denial date.
If a claim is submitted after the filing limit and the member is not liable, the claim may be denied by the insurance company due to the late submission. This means that the insurance company may not cover the expenses or damages associated with the claim.
Yes, if you are contracted with the secondary payor, PPO contract, HMO contract, etc, you are bound by your contract to bill the plan
It goes on your record and your insurance rates get adjusted.
If your dental insurance claim is denied, first check the explanation of benefits (EOB) to understand the reason for the denial. Then, contact your insurance provider for clarification and to discuss the possibility of an appeal. You can also gather any necessary documentation or records from your dentist to support your case. If needed, consider filing a formal appeal or seeking assistance from your dentist’s office, as they may have experience dealing with insurance claims.
12 months or one year
Many insurance companies will denial claims for pre-existing conditions. You have a right to appeal all claims. You should call your company first to see why the clam was denied.
You cannot be denied a passport for filing bankruptcy.
It depends if they really and truly are responsible for the denied charges. Meaning if the insurance company denied the claim due to something the PROVIDER didn't do, (timely filing, no auth obtained, etc),the charges would have to written off. Other than that, if the patient refuses to pay, let them know the account will go into collections.