My practice where I work wanted to ask if anyone has had a problem with this said scenario:

Patient comes in with dual insurance from parents it takes them and the insurance to finally figure out who is primary and secondary insurance. Divorce Decree needed to be sent in.

We needed to do corrected claims as the primary insurance we original billed is now secondary, we had no Authorization for what is now the primary insurance does not cover said diagnoses with out authorization. Per the claim we can’t bill the patient. We are not able to get retro Auth from the now primary. Do we have any course of action or are we out the money. How do you prevent this from happening when the parents have an issue with the COB.

Janelle B