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
[comments]

See also  Help figuring out best option!