Secondary insurance is not paying remaining balance even though I have reached out of pocket max.
I'm hoping I can be enlightened on why I am having issues with this. I'm frustrated with the dual insurances and billing saying its not their issue.
Insurance A – Out of Pocket Max has not be reached.
Insurance B – Out of Pocket Max has been reached.
Bill is $1000
Insurance A – HDHP (Primary) – "Contracted Rate Reduction" = $600, Bill Remaining $400
Insurance B – HDHP (Secondary) – "Contracted Rate Reduction" = $850, They only pay $150 towards it ($1000-$850).
Bill Remaining $250. I dont understand why we have to pay $250 in this situation when we have reached out out of pocket maximum for Insurance B. That doesn't seem right, but insurance B is saying its right, Insurance A is saying B needs to pick up the remaining and the Biller is saying its an insurance problem. I have no clue what to do.
Thanks for looking and let me know if you need anymore information.
submitted by /u/ChewWork
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