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Vaida Posted Thu 20th of November, 2014 14:53:05 PM

Can you please clarify how Medicaid as a secondary insurance work? When do they cover secondary claims, when do we need to write them off and can we charge patients for what Medicaid does not cover?
Thank you

SuperCoder Answered Thu 20th of November, 2014 15:07:50 PM

Thanks for your question. When patients have Medicaid as their secondary insurance, you are to first bill the primary insurance carrier. When your explanation of benefits returns from the primary insurance company, you would submit any remaining balance to Medicaid to process as secondary. Medicaid will normally pay any balance remaining from what the patient's primary insurance did not cover. Medicare patients with Medicaid as their secondary insurance will normally not have any balance remaining after Medicaid processes the claim. You should only write off a balance if the Medicaid explanation of benefits instructs you to. Some Medicaid plans will require the patient to pay a small balance for secondary co-payment. If this is the case you will have the patient pay what Medicaid requires.

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