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Can a non-custodial parent find out how much the custodial parent was reimbursed by secondary insurance carried by the custodial parent?
Wiki User
∙ 8y ago
If you as a non-custodial parent are having to pay half of the medical expenses and you know he/she has secondary medical insurance, I suggest with the primary and secondary insurance, you require a copy of the Explanation of Benefits (EOB) that insurance companies provide when they process a claim from your former spouse. These are standard issue throughout the insurance industry and are the "gold standard" that all medical billing is paid by. It clearly states what is paid by insurance and what is paid by the patient. If your former spouse refuses to provide you the EOB's (Explanation of Benefits) documenting the request to pay your portion, I would refuse to do so until you are provided the documentation. It is a reasonable request. I would not pay any medical and/or dental bill without an EOB.
In addition, even though an insurance company may not give you the info under HIPAA, under Family Code 3025 in CA, the medical provider cannot deny you access to their records. You can also obtain billing and payment information that way.
I suggest you go to the State Bar website in your state and look thru the family law codes to see if this same or similar code exists.
Yes, but in can be very tricky with HIPAA privacy laws.
In CA Family Law Code 3025. Notwithstanding any other provision of law, access to records and information pertaining to a minor child, including, but not limited to, medical, dental, and school records, shall not be deniedto a parent because that parent is not the child's custodial parent.
Says you can.
If this can be found out, how does a noncustodial parent go about doing this, when there is opposition from the custodial parent? As well, you cited a California code, is this acceptable in other states? The problem I have relates to issued within Tennessee.
No, it really does not say that the non-custodial parent can have that access. It says the parent can have access to medical, dental, and school records. It does not say that the non-custodial parent can have access to payments made by the insurance company. If I gave any information to a non-custodial parent other than general company information, I or my company would be subject to large HIPAA fines.
In fact it is within the custodial parents rights to block the account from the non-custodial parent. Imagine that a non-custodial parent, no matter how much they claim to be in the best interest of the child were allowed to have access to current address or phone number information. What if the courts had taken away those rights. The health insurance company wouldn't know about that and could be endangering the life of the child.
What if this secondary insurance effects the amount that the noncustodial parent is liable to pay for unreimbursed medical expenses. The custodial parent is not relinguishing the information of the secondary insurance although according the domestic relations guidelines she can not request reimbursement for unpaid medical expenses until claims are filed with ALL available insurances. I know that she has the insurance I was able to verify that specific information over the phone, but wasn't able to get anything in writing to show to the courts. I'm currently paying on orthodontic bill and I know that if this additional insurance payment were applied to bill it would eliminate a huge financial responsibilty on myself as well as her, but I believe she may be filing a claim and receiving the money directly and not applying the reimbursement from the insurance to the bill and continuing to collect from me...double dipping in other words. What can I do???
Wiki User
∙ 8y ago
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Difference between primary and Secondary commercial claims?
There is one major difference between these types of claims. When a person has two different insurance carriers, one of them is designated as the primary coverage and the other as the secondary. The primary insurance should be billed first and normally pays the bulk of the bill. The secondary insurance gets billed for the remainder of the bill which the primary insurance did not pay for.
Can a hospital come after a non-custodial parent for expenses not covered by insurance if the custodial parent admitted the child to the hospital without consulting the non-custodial parent?
You share the parenthood of the child and so you also share expenses. It is not in any way practical for you to second guess treatments you will and will not pay for. The custodial parent has the decision making power, and even if you don't share their vision, it is best for the child not to get caught in the middle of a fight about expenses. Alternatively, you could put your child on your insurance, so there is a secondary source for payment. Kids are just expensive any way you go about it. For the future, you may cultivate a reasonable talking relationship with the other parent, who may consult you if they know they are not going to be caught in a confrontation in a time of emergency. If the hospital comes to you for the payment and you have already paid your required share, you may be forced to sue your ex to recover the money.
Visitation Order-What is a good example of a Standard Visitation order?
STANDARD VISITATION ORDERIT IS FURTHER ORDERED, ADJUDGED AND DECREED that the custodial parent(s) and the non-custodial parent(s) shall be bound by the following terms and provisions, and the non-custodial parent(s) shall have possession of the child(ren) as follows:(a) Definitions. In this section:(1) "School" means the primary or secondary school in which the child is enrolled, or, if the child is not enrolled in a primary or secondary school, the public school district in which the child primarily resides.(2) "Standard Order" or "standard possession order" Means an order that provides a parent named as a non-custodial parent with rights of possession of a child in accordance with the terms and conditions provided in this section.(3) "Child(ren)" applies to all children the subjects of this cause of action under the age of 18, and not otherwise emancipated.(b) Mutual Agreement or Specific Terms for Possession. It is ordered that the parties may have possession of the child at any and all times mutually agreed to in advance by the parties and failing mutual agreement, shall have possession of the child under the specified terms herein set out in this standard order.(c) Parents Who Reside 100 Miles Or Less Apart.Except as otherwise explicitly provided, if the non-custodial parent resides 100 Miles or less from the primary residence of the child, the non-custodial parent shall have possession of the child as follows, according to the election made as indicated by an "X" or "/":(1)____ (a) on weekends from 6 p.m. on the first, third and fifth Friday of each month until 6 p.m. on the following Sunday (or, at the non-custodial parent's election made before the rendition of the original or modification order), ____ (b) from the time the child's school day ends, if any, on the first, third, and fifth Fridays of each month until 6 p.m. on the following Sunday; and(2)____ (a) on Wednesdays of each week during the regular school term from 6 p.m. until 8 p.m., (or at the non-custodial parent's election made before the rendition of the original or modification order), ____ (b) from the time the child's school day ends, if any, until 8 p.m. on Wednesdays of each week during the regular school term.(d) Weekend Possession Extended by Holiday. Except as otherwise explicitly provided, if a weekend period of possession of the non-custodial parent coincides with a school holiday during the regular School term, or with a federal, state, or local holiday during the summer months in which school is not in session, the weekend shall extend until 6 p.m. on a Monday holiday or school holiday or shall begin at 6 p.m. Thursday for a Friday holiday or school holiday, as applicable.(e) Vacations and Holidays. The following provisions govern possession of the child for vacations and for certain specific holidays and supersede any conflicting weekend or Wednesday periods of possession provided by subsections (c) and (d) of this section. The non-custodial parent and custodial parent shall have rights of possession of the child as follows:(1) the non-custodial parent shall have possession of the child in even-numbered years from 6 p.m. on the last school day before the Christmas school vacation begins until noon on December 26th, and the custodial parent shall have possession for the same period in odd-numbered years;(2) the non-custodial parent shall have possession of the child in odd-numbered years from noon on December 26th until 6 p.m. on the day before school resumes, and the custodial parent shall have possession for the same period in even-numbered years;(3) the non-custodial parent shall have possession of the child in odd-numbered years from 6 p.m. on the Wednesday before Thanksgiving until 6 p.m. on the following Sunday, and the custodial parent shall have possession for the same period in even numbered years;(4) the non-custodial parent shall have possession of the child in even-numbered years from 6 p.m. on the last school day before the school's spring vacation begins until 6 p.m. on the day before school resumes, and the custodial parent shall have possession for the same period in odd-numbered years;(5) if the non-custodial parent:(A) gives the custodial parent written notice by May 1 of each year specifying an extended period or periods of summer possession, the non-custodial parent shall have possession of the child for 30 days between June 1 and August 31, to be exercised in no more than Two separate periods of at least seven consecutive days each; or(B) does not give the Custodial parent written notice by May 1 of each year specifying an extended period or periods of summer possession, the non-custodial parent shall have possession of the child for 30 consecutive days at 6 p.m. on July 1 and ending on July 31;(6) if the custodial parent gives the non-custodial parent written notice by May 15 of each year or gives the non-custodial parent 14 days' written notice on or after May 16 of each year, the custodial parent shall have possession of the child on any one weekend from Friday at 6 p.m. to 6 p.m. on the following Sunday during any one period of possession by the non-custodial parent under subdivision (5) of this subsection, provided that the custodial parent picks up the child from the non-custodial parent and returns the child to that same place;(7) if the custodial parent gives the non-custodial parent written notice by May 15 of each year or gives the non-custodial parent 14 days' written notice on or after May 16 of each year, the custodial parent may designate one weekend between June 1 and August 31, during which an otherwise scheduled weekend period of possession by the non-custodial parent will not take place, provided that the weekend so designated does not interfere with the non-custodial parent's period or periods of extended summer possession or with Father's Day if the non-custodial parent is the father of the child;(8) the parent not in possession of the child on the child's birthday shall have possession of the child from 6 p.m. to 8 p.m. on that day, provided that the parent not in possession picks up the child from the child's residence and returns the child to that same place.(9) if the father shall have possession of the child on Father's Day from 9 a.m. to 6 p.m., provided that, if he is not in possession of the child, he picks up the child from the child's residence and returns the child to that same place; and(10) if the mother shall have possession of the child on Mother's Day from 9 a.m. to 6 p.m., provided that, if she is not in possession of the child, she picks up the child from the child's residence and returns the child to that same place.(f) First Right Of Refusal. If the parent in possession of the child shall be away for an extended period of time they shall give the other parent the right of first refusal to care for the child.See related link for long distance visitation.
A transformer has 20 primary windings and 100 secondary windings If the secondary voltage is 25 V find the primary voltage?
Voltage on primary/Primary turns = Voltage on secondary/Secondary turns
Does the titanic movie have primary or secondary evidence?
secondary evidence for sure
Can a non custodial parent find out how much the custodial parent was reimbursed by secondary insurance carried by the custodial parent?
No, not without a court order.No, not without a court order.No, not without a court order.No, not without a court order.
When divorced and Mom bills her primary insurance for child and gets reimbursed is it Mom or Dad who's responsible to submit claim for balance to Dad's secondary insurance He says Mom she says Dad?
ask your mom.
Can you drop medical coverage for your dependent children when they obtain state Medicaid coverage?
When a non custodial parent is ordered by the court to pay medical coverage, and the custodial parent applies for Medicaid that does not mean that the dependent child's medical coverage can be terminated by the non custodial parent. The ordered insurance becomes the primary insurance, and Medicaid becomes the secondary.
Will secondary insurance pay the co insurance amount of primary insurance if you have met the deductible in secondary insurance?
Yes
Will secondary insurance cover claims denied by your primary insurance?
As long as it is a covered expense by your secondary insurance and a claim has been filed with the primarty insurance then the answer is yes. The secondary insurance will only cover the expense according to your plan.
Does secondary insurance cover or pay copays of primary insurance?
The secondary insurance cover both pays and co-pays of the primary insurance depending with the insurance company.
Will secondary private insurance pay deductible from the primary insurance?
Some will. Check with the secondary insurer.
What do you do if your doctor does not submit to your secondary insurance and now its denied for timely filing?
appeal to secondary insurance
Does secondary private insurance pay what primary private insurance will not pay?
Yes, if the secondary insurance plan covers it In the pharmacy (drugs) world of primary and secondary coverage, this is true.
Can your doctor bill you before submitting a claim to your secondary insurance?
Yes. Your doctor is not required to file to your secondary insurance.
If the primary insurance allows more than the secondary insurance what would the secondary insurance pay?
Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.
Can you have a secondary beneficiary on your life insurance?
Yes, you can have a secondary beneficiary on your life insurance policy. If the primary beneficiary is no longer living when you pass away, the secondary beneficiary would receive the proceeds from your life insurance policy.
