Please be mindful I am new and feeling my way through this but there is an area in the ac under the patients billing where we put the copay in upfront upon arrival. The same section in the chart also lets me put in any payments when we get the eob or the check. Finally for secondary it is placed on the cms 1500 in the other insurance area the cross claim should be sent by officeally. I think you can actually check a box atop the cms 1500 that says something like "secondary claim" to denote to the insurance carrier that there is another payer.


George M. Mangle, DO, DPM
Diplomat American Board of Internal Medicine