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Marilyn Posted Tue 05th of February, 2019 22:25:21 PM
My question is that, when there is a primary and secondary insurance, then two years later, the order of the insurance is reversed due to court order. Now the insurance that became secondary is recouping what was paid during the time period, and so the claims are resubmitted to the insurance that was secondary but became primary, but now the issue is that the insurance is rejecting the claims are "timely filing" no matter the issue is or was. Would that be correct since there is a court order. The insurance said that they are following STD guidelines, doesn't matter is there is a court order.
SuperCoder Answered Wed 06th of February, 2019 07:44:31 AM
Hi Marilyn nbsp In such a case the primary insurance which is now secondary may recoup the payment for the claims from the effective date of the order not before that And those claims should be submitted to the secondary insurance which is now primary If now primary insurance is...
Marilyn Posted Wed 06th of February, 2019 09:12:29 AM
Both insurance have the court order The problem is that the secondary who is now the primary will not pay but to say untimely filing when rerouting some claims to them We are being told that court order or not they stand their ground of their STD timely filing policy...
SuperCoder Answered Thu 07th of February, 2019 07:51:28 AM
nbsp Please go for an appeal and attach a copy of court s orders along with the appeal The claims should have been submitted as per the change in primary and secondary insurances as per the court s order Moreover payers should also have worked accordingly immediately from the effective...

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