Wiki global delivery with secondary insurance

[michelle417]

Has anyone encountered a situation where the primary commercial insurance wants a global delivery code that includes antepartum care but the secondary (CareSource) wants a delivery only code. How do you go about billing the secondary when the primary left a deductible?? Thanks

 

[OhioMB]

We also deal with Caresource and other MCD plans. We manually change this on our print out of the claim and send in the primary's EOB. It will process.

 

[DeannaMazur]

Yes! We've found that with most medicaid plans, they want to see each individual prenatal visit billed and then the non-global delivery code.
We submit each of the prenatal visits with the EOB from the primary carrier for the global delivery and that seems to get them paid.