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Click here for more sample CPC practice exam questions and answers with full rationale

HELP…. i have billing primary and secondary question(s)

Hello All,

I could really use some help. I’m confused when billing primary and secondary. Question. What do you do when a secondary pays as primary but when you call the secondary they say they paid as secondary but now your computer show an insurance refund. Who gets the refund? how would you enter the secondary’s payment? What (if there is a) balance would be the patient balance? Example: total billed amount $ 5,949.00 primary eob states allowed $ 4,242.34 Coinsur $ 848.47 adjustment $ 1706.66 Paid $ 3393.87 …. Secondary’s eob states allowed $ 5354.10 deduct $ 421.98 adjustment $ 594.90 Paid $ 3945.70 ….
Do I refund the primary’s full pymt and base the claim payment on just the secondary’s payment?
THANKS :)

Medical Billing and Coding Forum