Primary insurance was actually secondary. How do I resubmit claim to primary?

Answered

Follow

Eugene Lawrence M. Ed.

• November 18, 2020 19:12

We received a letter from Tufts stating that from April to September of this year client x had primary insurance under BCBS Massachusetts. Tufts is asking for the claims to be submitted to BCBS and either want the money paid back or they will take it off future payments. I'm not sure how to go about this - I don't want to delete the original claim, but billing BCBS as secondary seems incorrect since they are actually primary. In addition, when I generated a secondary claim just to see what it looks like it shows Tufts having paid the claim (which of course they did but are taking back).

-1

• 

  Ruth

  • November 21, 2020 01:24

  Hi Eugene, I've created an email Help Request on your behalf so that a member of our Insurance Team can investigate your client's claim and insurance benefits for you. They should be able to get back to you soon with more specific recommendations on how to proceed! 

  1

  Comment actions Permalink
• 

  Dr. Maria Gricelda Chacon

  • June 02, 2021 18:11

  i have the same issue, i send the original claim to Primera were the primary was actually HMA

  0

  Comment actions Permalink

Please sign in to leave a comment.