2nd carrier paying less than primary

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If you are also contracted with the secondary insurance, usually they will cover the copayment. But if their contracted allowable is less than the primary's, like we see with Medicaid, then you have to write off that copayment. It's a catch 22 because your contract with the primary states you are obligated to collect a copayment as part of that contract. Did the eob's designate the co insurance, copayments, & patient share? And the secondary had a zero patient share? You may want to re-negotiate the contract with the secondary plan

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Marcus Murphy, CPPM

2nd carrier paying less than primary