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Medical Billing Forum
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Payments
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(Moderators:
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OUT OF STATE MEDICAID
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Topic: OUT OF STATE MEDICAID (Read 4737 times)
ellie
Jr. Member
Posts: 87
OUT OF STATE MEDICAID
«
on:
August 11, 2010, 11:51:36 PM »
Hi everyone,
if a patient had services in one state and is covered thru medicaid secondary in another state, will they pay the bill ?
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Michele
Administrator
Hero Member
Posts: 5927
Re: OUT OF STATE MEDICAID
«
Reply #1 on:
August 12, 2010, 10:29:59 AM »
Only if the provider is participating with the Medicaid in the other state.
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ellie
Jr. Member
Posts: 87
Re: OUT OF STATE MEDICAID
«
Reply #2 on:
August 18, 2010, 11:41:21 PM »
Is the patient responsible for the balance due then if we are not a provider with the other state ?or is it written off ?
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PMRNC
Hero Member
Posts: 4562
Re: OUT OF STATE MEDICAID
«
Reply #3 on:
August 19, 2010, 12:34:30 PM »
I think it depends. I know that we have had out of state Medicaid and we have to call THEIR state to see if they will approve the out of state. I think you need to call the other state but you also need to participate with Medicaid in your state.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Pay_My_Claims
Guest
Re: OUT OF STATE MEDICAID
«
Reply #4 on:
August 27, 2010, 10:21:58 PM »
yes we had that same situation, and medicaid would not pay, so we were able to bill the patient
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Medical Billing Forum
Re: OUT OF STATE MEDICAID
«
Reply #4 on:
August 27, 2010, 10:21:58 PM »
Nadine
Newbie
Posts: 15
Re: OUT OF STATE MEDICAID
«
Reply #5 on:
December 16, 2010, 11:48:55 AM »
I have found that some states provide a pseudo provider number. That is a provider number for that one claim. You could inquire with the out of state medicaid plan....any attempts to collect is worth the effort. nj
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PMRNC
Hero Member
Posts: 4562
Re: OUT OF STATE MEDICAID
«
Reply #6 on:
December 16, 2010, 11:53:44 AM »
Quote
yes we had that same situation, and medicaid would not pay, so we were able to bill the patient
It really depends, you have to verify with the Medicaid payor, I have billed Medicaid in a few states and there are states that actually will tell you that you cannot bill the patient if you new before hand the provider wasn't participating, if it's an emergency out of state issue, the issuing Medicaid state can offer a prior approval
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Nadine
Newbie
Posts: 15
Re: OUT OF STATE MEDICAID
«
Reply #7 on:
December 28, 2010, 07:17:18 PM »
Try requesting for a pseudo provider number; a one time provider number to bill your claim...nj
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Medical Billing Forum
Re: OUT OF STATE MEDICAID
«
Reply #7 on:
December 28, 2010, 07:17:18 PM »
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Medical Billing Forum
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OUT OF STATE MEDICAID