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processing copay to secondary

Mark Cornell 2 years ago in Payments/ERA Modules updated 2 years ago 3

I have been getting copay's denied when sending to secondary.  Primary insurance processes and the is saved thru the ERA and then I queue it it up for the secondary and it gets denied.


Any Ideas?

Make sure that the COB tab is completed, showing what the primary paid.

+1

Or it could be that the secondary payer is not paying bc the primary payer has already paid up to what secondary payer would pay. Normally this denial looks like Other Adjustments (OA) 23.

This is what another company just told me also. When I reviewed the primary payment it was above the fee schedule for the secondary so I would agree, Thanks :)