Patients primary, GHI allows 80, paid 60, copay 20.
I submitted the claim to Medicare and the deductible was $124.05 with $64.05 as patient responsibility after deducting the $60 paid by GHI.
Does this mean we have to follow medicare's E.O.B. and bill patient for the $64.05 even though we're in-network with GHI?
Does this overrides our contract with GHI and we must follow what Medicare determines as patient responsibility?
I submitted the claim to Medicare and the deductible was $124.05 with $64.05 as patient responsibility after deducting the $60 paid by GHI.
Does this mean we have to follow medicare's E.O.B. and bill patient for the $64.05 even though we're in-network with GHI?
Does this overrides our contract with GHI and we must follow what Medicare determines as patient responsibility?