Secondary payer
The insurance plan that pays after the primary plan has processed the claim.
The secondary payer is the second plan to adjudicate when you have multiple insurance plans. The secondary considers what the primary paid (via the primary's EOB) and pays its share according to its own benefit rules. Medicare and Medicaid have specific Medicare Secondary Payer rules. Medigap policies act as supplemental coverage on Original Medicare.
Frequently asked questions
What is secondary payer?
The secondary payer is the second plan to adjudicate when you have multiple insurance plans. The secondary considers what the primary paid (via the primary's EOB) and pays its share according to its own benefit rules. Medicare and Medicaid have specific Medicare Secondary Payer rules. Medigap policies act as supplemental coverage on Original Medicare.
Related terms
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