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2ndary and Tertiary Payments

By Judy Roden posted 10-22-2009 09:33

  

I'm needing a definitive answer on this situation....  When 2ndary and tertiary payments are rec'd that cause a credit on a patient's acct ----  Who gets the refund?   Tertiary carrier OR  patient?

Thank you for any insights,
Judy
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10-29-2009 14:38

Although it requires a little research, and sometimes rebilling to get the account straight, we do not refund money to anyone other than the entity or person who paid it originally. The only way the patient would get refunded money paid by an insurance company is if they overpaid their portion of the bill. We often see confusion or discrepancies when multiple insurances are involved. Before a refund is issued our billers have to review the account payment history with EOBs in hand to be certain payments were appropriate. Hope this helps. Janine Salvatti