If a patient presents with a work-related injury, which insurance should be billed as primary?

When a patient presents with a work-related injury, the primary coverage to be billed is typically Workers Compensation. This type of insurance is specifically designed to cover medical treatment and expenses related to injuries sustained in the course of employment. By billing Workers Compensation as the primary insurance, healthcare providers ensure that the patient receives the appropriate coverage for their injury without the patient or healthcare organization incurring unnecessary out-of-pocket costs.

Workers Compensation not only facilitates the payment for medical care but may also provide additional benefits, such as wage replacement and rehabilitation services, which are not covered by other types of insurance. As a result, it is critical to prioritize billing this coverage when an injury is confirmed to be work-related. Other insurances, such as Private Health Insurance, Medicare, or Medicaid, may have specific exclusions when it comes to work-related injuries, making them less suitable as primary billing options in these situations.