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Should you honor the allowed amount for a secondary payer if its less then the primary payer?
Yes, you should honor the allowed amount for a secondary payer even if it is less than what the primary payer has approved. The secondary payer's allowed amount is determined based on their own policies and agreements, and it may differ from the primary payer's reimbursement. It's important to follow the contractual obligations with each payer to ensure compliance and avoid potential disputes.
What else can I help you with?
How do you figure out the write-off with primary and secondary dental insurance?
first you should obtain the explanantion of benefits from your primary. it should indicate what the write off amount is. if you're not sure, call the insurance company and ask them. then do the same with your secondary. the secondary insurance will consider the amount allowed by the primary and will usually base their benefits on that. if you are lucky, between the two, you should have little out of pocket expenses.
When will secondary health insurance not pay?
if primary paid more than allowed amount or if patient has primary insurance
If the secondary insurance has a higher allowed amount than the primary insurance is the secondary required to pay the higher amount?
I need more details in order to answer this question.
What is the percentage of primary secondary and tertiary industry in north Italy?
the percentage of primary industry is 4%, secondary is 44% and tertiary is 52% which makes tertairy the biggest amount and primary the smallest amount. Remember that Primary is like farming, secondary is like factries and tertiary is like shops. :P
Will secondary insurance pay the co insurance amount of primary insurance if you have met the deductible in secondary insurance?
Yes
How are primary and secondary insurance determined?
It is usually written in an insurance policy if the policy is primary or secondary. If both policies have language that makes them secondary if other insurance is present then they may split the amount owed. State laws may change this.
Are health care providers obligated to accept payment from a secondary insurance with whom they participate when the provider does not participate with the patient's primary insurance?
Yes they will have to accept payment from the secondary insurance, however they will have to bill the primary provider first. What ever the primary insurance does not cover should be covered by the secondary insurance. However, it will depend on the service being provided and the contracted amount that each insurance has agreed to pay. If the primary pays more than the secondary would have paid -there may be a refund due. However, there may be co-pays and deductibles to be met with both insurance policies. There could also be write downs--- you should only pay the lesser amount the provider may have to take a loss if one insurance has a lower contracted amount
What happens when one is covered by two insurance plans?
That is if the secondary does not have a clause in it that "they will not duplicate benefits" If so they will not always pay the difference. They will figure out the amount they would normally pay, subtract what the primary pays from that amount and pay the difference (which with mine is little to nothing and I end up paying the balance of the bill) Nothing really happens, one is the primary and the other is the secondary insurance for the patient. Primary insurance will pay up to 80% of allowed charges if the deductible is met, and the secondary insurance will pay the remaining 20% of the claim, again, if the deductible for the year has been met.
When secondary coil is open there is no current in the primary coil WHY?
I am assuming the question is about the power / distribution transformer and not the current transformer. The primary current is a function of load connected on secondary. With the open secondary, there is no load, no current, it is open circuit. Hence no primary current. However there is always some small amount of no load current in the primary winding.
What is a secondary explosive?
Many explosive devices consist of a primary and a secondary explosive. The primary consists of a small amount of an explosive that is very easily set off. The primary creates a small explosion that sets off the secondary explosive, which consists of a material that is much harder to set off; usually a primary explosive is the only way. The secondary explosive provides most of the energy of the device, with the primary simply being a trigger. The use of primary and secondary explosives allows for explosive devices that are less likely to go off accidentally.
How the input voltage is changed to an output voltage in a transformer?
Transformers work on the induction principal of the flux of the primary winding cutting the wires of the secondary winding. The amount of turns in the primary in relationship to the amount of turns in the secondary is the transformers winding ratio. This ratio is what governs the voltage value of the secondary winding.
What does Carve out coordination of benefits mean in dental insurance?
When a patient has primary and secondary insurance plans and there is a CO Bcarve out clause on their secondary plan this is what happens. Primary pays their amount and secondary subtracts primary's payment from what they were suppose to pay and pays the difference. Example: Primary pays 50% of a filling which cost $100.00 and secondary pays 80%. Primary pays $50.00, secondary would pay $80.00, therefore, secondary would only pay $30.00 of the remaining $50.00. It is a very confusing issue and I have been in dental for over 25 years and I still have a hard time explaining this to patients.
