Any advice would be appreciated.
I have an example of a patient that has Humana Medicare Replacement as primary and Medicaid as secondary. Billed amount $2,150. Humana allowed $763.96 and paid $611.17. The coinsurance is $152.79.
Medicaid was billed for the $152.79, but denied. The Medicaid rep. states Medicaid does not pay unless the primary pays 80%. The Medicaid eob says patient responsibility is $0.
Is it correct for Medicaid to deny since Humana didn't pay 80%?
Can the patient be...
Read more
I have an example of a patient that has Humana Medicare Replacement as primary and Medicaid as secondary. Billed amount $2,150. Humana allowed $763.96 and paid $611.17. The coinsurance is $152.79.
Medicaid was billed for the $152.79, but denied. The Medicaid rep. states Medicaid does not pay unless the primary pays 80%. The Medicaid eob says patient responsibility is $0.
Is it correct for Medicaid to deny since Humana didn't pay 80%?
Can the patient be...
Read more
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