AthensCoder
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I just had a question for everyone. Is there a regulation set by medicare that says when they are the primary payer and there is a seconday payer (whos allowable is more) that we can only accept mcare payment minus any coins/ded? Does this make sense to anyone?
Example.
Mcare Primary Allw'd amt $552.94 and pays $442.36 coins: 110.58
BC secondary Allw'd Amt 992.25 and pd $992.25
From my understanding we only have to refund BC the overpayment of $442.36 (mcare pymt)
My office manager is telling me that we have to refund $881.67 the difference between BC payment minus Mcare coins.
Any help would be greatly appreciated.
Example.
Mcare Primary Allw'd amt $552.94 and pays $442.36 coins: 110.58
BC secondary Allw'd Amt 992.25 and pd $992.25
From my understanding we only have to refund BC the overpayment of $442.36 (mcare pymt)
My office manager is telling me that we have to refund $881.67 the difference between BC payment minus Mcare coins.
Any help would be greatly appreciated.