Social Security & Medicare

Beartracks

(14,069 posts)

4. Im pretty sure the Medicare plan is aware of their secondary status.

Fri Feb 2, 2018, 12:58 AM

Feb 2018

Since Medicare plans are usually primary, a lot of doctors will submit claims to them first, and the Medicare plan has refused to pay because they know they're secondary for my wife.

I suppose I could contact the Dr in this case, and ask them if they did indeed submit the entire amount of the procedure to the secondary insurance (which, maybe they did since they hadn't gotten the primary payment yet). Maybe make them aware of the mistake if that's what they did. But then part of me also thinks it's not my job to make sure they do their job right... I just don't want other people's screw-ups to come back on to me - like, insurance fraud!

As someone who's done this kind of work before, what do you think I should do?

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Primary/Secondary insurance snafu [View all] Beartracks Jan 2018 OP

If you are thinking about what is "right" you are not understanding the rules in rzemanfl Jan 2018 #1

I've managed a medical office for 23 years Dragonfly64 Jan 2018 #2

Im pretty sure the Medicare plan is aware of their secondary status. Beartracks Feb 2018 #4

You're right - it isn't your job to oversee them, Dragonfly64 Feb 2018 #5

Thanks for the suggestions. Even though I was out-of-network... Beartracks Feb 2018 #6

I think insurance is purposely confusing and incomprehensilbe.. LakeArenal Jan 2018 #3