What is another name for the secondary payer?

Study for the RHB330 Resolute Hospital Billing Claim and Remittance Test with questions, hints, and explanations. Enhance your billing skills and excel in your exam!

Multiple Choice

What is another name for the secondary payer?

In claims processing, the secondary payer is the one that covers costs after the primary payer has paid, through a process called coordination of benefits. The term “crossover payer” specifically describes this flow: the claim or the remaining allowed amount crosses over from the primary payer to the secondary payer for processing. That’s why the best answer is crossover payer. The primary payer is the first payer, so it isn’t the secondary; a tertiary payer would come after the secondary; and simply calling it the secondary payer doesn’t convey the crossing-over concept.

In claims processing, the secondary payer is the one that covers costs after the primary payer has paid, through a process called coordination of benefits. The term “crossover payer” specifically describes this flow: the claim or the remaining allowed amount crosses over from the primary payer to the secondary payer for processing. That’s why the best answer is crossover payer. The primary payer is the first payer, so it isn’t the secondary; a tertiary payer would come after the secondary; and simply calling it the secondary payer doesn’t convey the crossing-over concept.

More practice questions