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Medical Billing Forum
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Medicaid question
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Topic: Medicaid question (Read 2021 times)
Ryanne
Newbie
Posts: 18
Medicaid question
«
on:
August 29, 2012, 07:45:23 PM »
Patient has Medicaid HMO as secondary insurance. Primary insurance has been billed and paid a portion of the allowed amount (provider is not network for the primary). Can the patient be balance-billed since provider is not enrolled in the Medicaid HMO? (Provider is a Medicaid provider for traditional Medicaid, but not for the Medicaid HMO Amerigroup)
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Michele
Administrator
Hero Member
Posts: 5927
Re: Medicaid question
«
Reply #1 on:
August 31, 2012, 04:33:26 PM »
It depends on your state laws. In NYS you cannot bill a Medicaid Eligible patient.
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camedbill
Jr. Member
Posts: 79
Re: Medicaid question
«
Reply #2 on:
September 03, 2012, 03:26:18 PM »
You can't bill patient here in California either. Also, depending on how much the primary paid, if it's more than what Medicaid allowed, they're not going to pay any more anyways.
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Medical Billing Forum
Re: Medicaid question
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Reply #2 on:
September 03, 2012, 03:26:18 PM »
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Medical Billing Forum
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Medicaid question