Sheila took her 5-year-old daughter to the pediatrician's office for an annual well-child exam. She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which one of her insurances is billed for the well-child exam?

Question

Quizplus · Accepted Answer

You bill Blue-Cross Blue-Shield first as the primary payer, and send a secondary claim to Medicaid, once the primary insurance has paid. Medicaid is always the payer of last resort, and as such is always billed after a commercial insurance processes the claim.

Sheila Took Her 5-Year-Old Daughter to the Pediatrician's Office for an Annual