I received an Explanation of Benefits from TRICARE stating the other health insurance has been paid in full. How could the primary insurance pay the charges in full when they only paid 80%?
If you are a network provider, you have signed an agreement stating you will accept the TRICARE allowable as payment in full. If the primary insurance payment is more than the TRICARE allowable, the primary insurance has satisfied the TRICARE liability. The beneficiary is not responsible for the TRICARE co-payments in these instances.
Related Questions
- I received an Explanation of Benefits from TRICARE stating the other health insurance has been paid in full. How could the primary insurance pay the charges in full when they only paid 80%?
- Ive received an explanation of benefits (EOB) from my insurance, stating that Sansum Clinic has been paid or an adjustment has been recommended on my account. So why did I get this bill?
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