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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.

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18y ago
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Anonymous

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3y ago
WILL MEDI-CAL COVER 2NDRY IF THE PRIMARY DENIED THE AUTHORIZATION

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Q: Will secondary insurance cover claims denied by your primary insurance?
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Related questions

IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?

yes


With Primary and Secondary Insurance your primary denied your claim because it was over a year is your secondary obligated to pay?

Yes, subject to the limits in their policy. No. With most insurance policies, there is what is called a timely filing limitation. For my company; contracted providers have 6 months, and non-contracted providers have 12 months to submit the claim. If your primary insurance received the claim within timely filing, you may have the option of submitting the claim to your secondary with proof that it was filed in a timely manner. If that doesn't work you can always appeal the decision with the secondary or for that matter the primary insurance company. Policy holders are not responsible for claims that deny for timely filing.


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


I make payments on a vehicle and have insurance in my name but the car is in my brother's name is this legal?

No. The primary insured MUST match who owns the vehicle, otherwise any claims made for that vehicle will most likely be denied.


Can secondary insurance pay claims that are denied by Medicare?

That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If Medicare denies a service all together, the supplemental plan is often under no obligation to pay at all, as they are there to "supplement" Medicare, not take the place of it in cases of denial. This is especailly true if Medicare denies because the service was deemed "not medically necessary". So, in short, no. Medicare supplements often do not cover services if they are denied by the primary (Medicare).


What are the downside risks to discount car insurance?

Some people opt for discount car insurance and they get discount insurance coverage, claims can take a while to process and sometimes denied more frequently


Does blue cross have to pay as secondary if Medicare pays for a procedure as primary?

all depends on the blue cross plan you have. A lot I come by through my job as an insurance biller the secondary will pick up any copays that medicare wouldn't cover. But there is some plans that won't pay if medicare doesn't pay. So, really, yea, your secondary should pick up some cost. Unless it is just co-pays, they have the choice to make that your responsibility as a member. Do take the time to figure it out, a lot of times if you don't fight your own claims, you pay much more than you need to. Always keep and look at your explanation of benefits that you should receive from the insurances after each visit explaining what they paid and what they denied and what you owe. Anything that is not listed in the "Allowable Amount" column, you are not responsible for. Especially if the place you attended is participating with that insurance. A lot of companies try to collect for money that was denied by the insurance, but they(the insurance) states you are not responsible for.


What is a Payer of Last resort?

A payer of last resort is an entity that pays after any other primary programs have been billed. For instance, after a primary insurance company, a secondary or even tertiary program can come in and pay the last of a bill. In some cases, the patient can no longer be billed for services after this payer has paid or denied payment.


Filing claim pre existing conditions for appeal?

Many insurance companies will denial claims for pre-existing conditions. You have a right to appeal all claims. You should call your company first to see why the clam was denied.


What are the disadvantages of insurance?

Relying on insurance can become a problem as various insurers may not pay claims. Time spent challenging denied claims also becomes costly for individuals as well as companies.


Can insurance be denied if you rent your home?

What kind of Insurance?


Can a person be denied medical services due to no insurance in NC?

can a person be denied medical servises due to no insurance