main paid more than secondary permitted quantity - [rejection management] in medical billing

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primary paid more than secondary permitted amount.
As title defines.

If secondary enabled quantity is less than primary permitted quantity, then secondary insurance coverage wil deny claim as primary paid more than secondary permitted quantity.

Billed amount is $10000, then secondary will reject the claim as primary paid max. $20 is provider adjustment and $ 80 is patient responsibility.

In this case we require to examine whether secondary permitted quantity is less than primary enabled amount or not and likewise examine who is responsible for staying balance; patient or supplier.
if patient?
bill the client.
if provider?
ask for provider change.

Concern:.

( If primary permitted 100% and processed towards patient responsibility as out of pocket. secondary is medicaid. what we will do? let me understand in this comments area below.).

Notes:.
Insurance name. Secondary allowed amount, which is less than main allowed amount. Requested for change.

Here is the playlist of denial management:.
https://www.youtube.com/watch?v=-7VrUppAbmc&list=PLlF20 rX_v0XmCv2Q0Gu0OT3gSawsBWynb

http://medicalbillingcodingonline.org/main-paid-more-than-secondary-permitted-quantity-rejection-management-in-medical-billing/