Coordinating Primary and Secondary Insurances
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Although I understand the how-to's on submitting claims for primary and secondary insurances, I have a couple of questions regarding the amounts to charge clients.  Hopefully someone has had similar experiences and can help.

1. Scenario 1, Primary insurance pays contracted amount plus lists client copay.  Secondary insurance covers lower contracted amount, so pays nothing.  Would the client then be responsible for making the copay for primary insurance?  Or would client owe nothing?

2. Scenario 2: Primary insurance normally pays higher contracted amount, but has high deductible due and therefore pays nothing for session.  Secondary insurance pays lower deductible amount.  Do I charge client the balance of primary's contracted amount?

Thanks in advance!

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    Ben

    Hi Kim,

    My name is Ben. I'm an Insurance Specialist here at SimplePractice.

    In this particular situation, it would be best to verify this information directly with the primary and secondary payers.

    That being said, if you are enrolled in Payment reports (ERAs), this information would be automatically calculated for you and then applied to the client's balance accordingly.

    If you have any additional questions, you're welcome to reply to the email that just arrived in your inbox.

    I hope you enjoy the rest of your day.

     

    Hi Kim,

    My name is Ben. I'm an Insurance Specialist here at SimplePractice.

    In this particular situation, it would be best to verify this information directly with the primary and secondary payers.

    That being said, if you are enrolled in Payment reports (ERAs), this information would be automatically calculated for you and then applied to the client's balance accordingly.

    If you have any additional questions, you're welcome to reply to the email that just arrived in your inbox.

    I hope you enjoy the rest of your day.