Forum - Questions & Answers

Nov 23rd, 2009 - sweetie693

Dual insurance

We have a patient that is deceased. Mother has dual insurance. Blue Cross paid the claim and then took the money back saying that Aetna is responsible for the payment. Which insurance is responsible for paying the bill as primary payor. Mother changed insurance while patient was in the hospital.

Nov 23rd, 2009 -

sounds like two issues

1- "The mother has dual insurance" - assuming the patient is a child and both parents have insurance, there are guidelines. The parent with the earliest birthday is primary for the kids in married couples. Google "Coordination of Benefits"

2- If the mom was the primary insurer and her policy changed form BC to Aetna in the middle of the hospitalization, then it's a little trickier. I think the easiest thing to do is call the hospital billing office and see who paid them. They have the resources and expertise to be able to figure out messes like this.



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