Problem
A child comes into your office. Both parents have insurance coverage for the child. Mom is 45 years old and was born on January 2; Dad is 50 years old and was born on March 4. The mother works part-timeas a school nurse, while Dad's job is full-timeas an insurance sales agent. Dad's insurance has only 80% coverage, but Mom's insurance will cover the service at 100%. What insurance is the child's primary insurance?
• A patient has Medicare as their primaryinsurance and Medicaidas their secondaryinsurance. Medicare pays $125 on a serviceand lists $25 as patient coinsurance. They've automatically forwarded the remittance to Medicaid, yet Medicaid hasn't paid. When you inquire about Medicaid's payment, they inform you that they allow only $100 for that service. What do you do?