Stop Leaving Medicare
Money on the Table.
Learn to file secondary claims correctly every time. A step-by-step training built for mental health practices billing Medicare with secondary coverage.
Access the Training → $67 Early Bird
The money is already there.
You just have to claim it.
Medicare doesn't pay the full allowed amount. After Medicare processes a claim, there's almost always a remaining balance — a deductible, coinsurance, or both. If your patient has secondary insurance, that plan exists specifically to pick up what Medicare left behind. You're entitled to bill for it. Your cash flow depends on it.
"Most billing training stops at the primary claim. Secondary claims have their own form structure, their own logic, and a set of fields most providers have never been formally taught."
The result? Claims that sit unfiled. Partial payments collected when full reimbursement was available. Rejections that get ignored because decoding them feels like more trouble than it's worth.
The only thing standing between your practice and that reimbursement is a correctly completed form. That's a solvable problem — and this training solves it.
Built for mental health providers who bill Medicare.
You don't need a billing background. You don't need to have filed a single secondary claim before. We start at the beginning.
- You accept Medicare and have patients with secondary coverage
- You're a solo practitioner or small practice owner handling your own billing
- You've filed secondary claims before but aren't confident the numbers are right
- You've gotten a secondary rejection and weren't sure what to fix
- You're onboarding a new biller and need a solid training resource
- You use any EHR or billing software with secondary billing capabilities
Five skills that make secondary billing feel like a routine.
Read a Medicare EOB with purpose
Not just glancing at the bottom line — actually understanding which numbers matter. Learn the difference between the Allowed Amount, Provider Check Amount, Deductible Amount Applied, and Coinsurance Amount before you open a single claim form.
The three real-world scenarios you'll actually encounter
Secondary billing isn't one-size-fits-all. This training covers all three situations — with sample EOB values and a completed claim form for each one.
Complete the CMS-1500 COB fields correctly
The secondary claim form has two sections where most of the work happens. This guide walks you through them field by field — so you know exactly what goes where.
The one calculation every secondary claim requires
Every secondary claim involves a contractual write-off — and getting it wrong is the most common reason a claim doesn't balance. The exact formula for each scenario, with worked examples.
Verify your claim is balanced before you submit
A balanced claim means every dollar is accounted for. One quick check before you hit submit catches errors before they become rejections.
A five-step walkthrough — then a full scenario reference.
These five steps apply to every secondary claim you'll ever file:
Read the EOB and record your numbers
Pull the key figures you'll need and understand what each one represents.
Create the secondary claim from the primary — not from scratch
The right starting point saves time and prevents errors from the start.
Complete the Other Payer COB
The section most billers skip or guess at — covered field by field.
Complete the COB detail lines and adjustment rows
Group codes, reason codes, adjustment amounts — demystified with plain-language explanations.
Run the balance check and submit
Confirm every dollar is accounted for before the claim goes out the door.
You'll be ready for every situation you encounter.
Depending on where your patient is in their deductible year, you'll hit one of these three situations. This training covers all three — with worked examples.
Deductible Not Yet Met
The entire remaining balance goes toward the deductible. Learn how to record this correctly and calculate the write-off.
Deductible Fully Met
Only coinsurance remains. A different set of fields, a different adjustment row — covered completely.
Split: Deductible + Coinsurance
Part applies to the deductible, part to coinsurance. The most complex scenario — broken down step by step.
she / her
Rachel Regina
Therapist · Practice Owner · Medicare Consulting for Therapists ModeratorRachel is a therapist, private practice owner, and a passionate advocate for navigating Medicare — and she brings genuine enthusiasm to all three. She is the founder of Empowered Minds, a private practice she launched in 2019, and serves as a moderator and administrator of Medicare Consulting for Therapists.
Medicare has been a meaningful part of Rachel's career since 2013, and when she opened her private practice, it was the natural first insurance she credentialed with. She loves digging into how Medicare works, keeping up with meaningful changes, and championing the needs of both providers and the clients they serve.
A social worker since 2001, Rachel earned her BA in Psychology from Richard Stockton University and her MSW from Rutgers University. Originally a Jersey girl at heart, she made Colorado her home in 2012 — and hasn't looked back, especially not when there are so many adventures to go on with her spouse and their dog, Maggie.
Most providers describe filing their first correctly balanced claim as the moment it stopped feeling like guesswork and started feeling like a routine.
Secondary claims don't have to be confusing.
Download it, follow the steps, and file with confidence.
Early Bird: $67 Access the Training → Instant access · Screenshots use SimplePractice · Compatible with any billing software