Question:
I have is there any way to get secondary insurance to pay if they cover and primary

My husband has blue cross of Ca. I have Blue cross of Or. My insurance has denied it, My husbands insurance, my secondary insurance (blue cross of Ca. ) Has been paying for this surgery (they just paid for my Husbands) Is there any way I can get them to pay for mine. They said that as the secondary they do not have to review my Dr. preauthorization request. Anyone know the answer? What should I do.    — Penny H. (posted on September 24, 1999)


September 24, 1999
I bill medical insurance for a living.I believe that if your primary carrier has a specific exclusion to this procedure,and if it's a benefit with your secondary then they should consider it. You will definitely need to provide the secondary with a copy of your primary carriers denial. Good luck to you!!
   — Morgan B.

September 24, 1999
That is what I did. My primary would not cover the surgery because it was out of network, so I submitted the request to my secondary and got approval. Even though I have a written letter approving from the secondary, they have yet to pay (6 months)because they say they won't pay until they get copies of the denial of the primary. Even though I was "pre-approved" by the secondary, it appears that I should have listed my primary with the hospital etc so they would bill the primary first and then get the denial and bill the secondary. It's all very confusing! Diane
   — Diane N.




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