- When filing Primary and Secondary insurance, you MUST bill your full fee on the patient's ledger.
- Submit Primary claim and Secondary Claims.
- The patient is responsible only for the fee up to the lower of the two insurances.
- For example, if the fee for a crown is $700 from one insurance company and $800 from the other, then the patient is responsible for his/her portion only up to the lower fee of $700. If the office receives $700 or more from both insurances, then the patient owes nothing.
- The office is ALLOWED to collect up to their office fee.
- If the office receives more than their office fee, they must refund to the insurance company.
- The patient does not collect any portion of the fee received by the office.
- For example, if the fee for a crown is $700 from one insurance company and $800 from the other, then the patient is responsible for his/her portion only up to the lower fee of $700. If the office receives $700 or more from both insurances, then the patient owes nothing.