tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Check State Rules on Insurer Responsibility

Question: When a patient comes to the ED for treatment following a motor vehicle accident, should we be billing the patient’s medical insurance, automotive insurance, or both? Nevada Subscriber Answer: When your provider sees a patient who has had a motor vehicle accident (MVA), you run the risk of billing the wrong insurance company if you don’t investigate the patient’s coverage and your state’s regulations. Warning: Don’t just assume that the patient’s health insurance is primary over the auto insurance and that you should bill the health insurance as primary and auto insurance...

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