BC Advantage - 2015 Issue 12

Revenue Cycle 101: Determining Insurance Order

When patients have multiple insurance coverages, at times it can be difficult to determine which one is primary, secondary, and tertiary. Sometimes, the patients don't even know which order they go in! While there are always going to be exceptions, here are some basic guidelines to keep in mind: Medicare - Medicare is usually primary. - An exception to this is if the patient (and/or their spouse) is still working and they have a group policy through their employer. In this case, the insurance through the employer is most likely primary. - Oftentimes, Medicare patients have Medicaid as their...

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