If a patient has a group health plan and is seen for worker's compensation, which plan is considered primary?

When determining which plan is considered primary in the context of a patient covered by a group health plan and who has received care for a worker's compensation claim, the worker's compensation plan takes precedence. This is because worker's compensation insurance is specifically designed to cover medical expenses and provide benefits associated with work-related injuries or illnesses.

In this scenario, the worker's compensation plan is responsible for handling claims related to injuries that occur in the workplace, and it is obligated to cover these costs before any other health insurance plans come into play. This priority is established due to the nature of worker's compensation, which is intended to ensure that employees receive prompt and comprehensive care for work-related incidents.

The group health plan, in this case, would be secondary, meaning that it would potentially cover additional services or costs not covered by the worker's compensation plan, but it would not be the first payer for those specific medical expenses.