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  #1  
Old 08-11-2008, 04:42 PM
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Secondary Insurance refuses to coordinate benefits with PersonalCare HMO

My secondary insurance carrier through my wife's employment refuses to coordinate benefits with my State of Illinois PersonalCare HMO plan. How do I write an appeal to the secondary insurance?
Last edited by satt4647; 08-11-2008 at 04:44 PM.
  #2  
Old 08-11-2008, 04:49 PM
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Quote:
Originally Posted by satt4647 View Post
My secondary insurance carrier through my wife's employment refuses to coordinate benefits with my State of Illinois PersonalCare HMO plan. How do I write an appeal to the secondary insurance?
You should ask the secondary insurance company what their appeal procedure is.
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Old 08-11-2008, 08:30 PM
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What do you mean, refuses to coordinate benefits? What exactly are they doing?
  #4  
Old 08-11-2008, 09:30 PM
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Originally Posted by ecmst12 View Post
What do you mean, refuses to coordinate benefits? What exactly are they doing?
I'm guessing he's trying to get the secondary insurance company to cover the portion of his claim that the primary ins. co. doesn't pay.
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The information I gave is based on my 7 seconds of research on Google. Review the information yourself to make an informed decision.

Communication is KEY - 10 mins of talking now can save you months of headaches later!

Masterfully stating the obvious to the oblivious! (Thanks SP!)

Tell it like it is! When all else fails, make up a statistic!

Gender references shall apply equally to the other gender. I will not correct gender mistakes (unless I want to)
  #5  
Old 08-11-2008, 09:34 PM
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Yes but I need to know EXACTLY what they're saying and how they're saying it in order to advise further. "Refuses to coordinate" is vague.
  #6  
Old 08-11-2008, 09:37 PM
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Quote:
Originally Posted by ecmst12 View Post
Yes but I need to know EXACTLY what they're saying and how they're saying it in order to advise further. "Refuses to coordinate" is vague.
Gotcha
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The information I gave is based on my 7 seconds of research on Google. Review the information yourself to make an informed decision.

Communication is KEY - 10 mins of talking now can save you months of headaches later!

Masterfully stating the obvious to the oblivious! (Thanks SP!)

Tell it like it is! When all else fails, make up a statistic!

Gender references shall apply equally to the other gender. I will not correct gender mistakes (unless I want to)
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