Wiki Billing the patient after an ABN

[jperez@mymvim.com]

Good day to you all!

I am having issues with the validity of an ABN after we submit to the secondary insurance. To my understanding we do NOT have to bill to the secondary insurance once an ABN is issued, however if the patient requests us to submit we may do it to help them. Now once the secondary insurance denies I do believe we can't charge the patient unless it denies with a PR.

Is this accurate? Is the ABN useless once the secondary insurance denies with a CO?


Thank you for all of your help!

JP

 

[CodingKing]

Sometimes the secondary will cover services that are not covered by primary carrier. Of course if its not covered by secondary you can bill the member. Or if your office doesn't bill secondary give him/her itemized bill and they can submit to secondary