dhobbs6
New
I have a question about a situation I have been running into at my current employer that I do not agree with. I have been seeing patients who have primary and secondary insurance. We are contracted with both companies so are in network. In some instances, the secondary allowed amount is less that what primary paid so no secondary payment is forthcoming. Secondary then is expecting us to write off the balance. The EOBs read as a Contractual Obligation remark codes with no patient responsibility showing. But the corporate office is not adjusting these secondary contracted amounts. They are balance billing the patients. When I questioned them they stated we are only obligated to take the primary's allowed amount and therefore ingnores the secondaries, even though we are contracted with them. Then they are balance billing the patient's for this amount and asking me to call them to collect. I feel like this is not good practice. I feel like this may not even be legal quite honestly. But then again I am not sure. Any help?