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Can you bill the patient if pt did not tell provider they had Medicaid in Indiana?
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∙ 13y ago
yes
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∙ 13y ago
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If a patient does not inform us he has medicaid is he responsible for the bill?
In Illinois, if the provider did not accept the patient as a Medicaid patient, the provider may bill the patient.
What states can you bill a Medicaid patient if the service is noncovered and you don't bill Medicaid?
In some states, you cannot bill the patient if you accepted her/him as a Medicaid patient.
Can the South Carolina medicaid provider bill the patient for the circumcision?
No.
Does Medicaid pay Medicare Hospital Deductible?
In Illinois, a provider who accepts a patient as Medicaid cannot bill that patient for anything for which Medicaid would have paid had the provider timely and properly billed Medicaid.
If the patient has BCBS as primary and Medicaid as secondary can you legally not accept the Medicaid and then bill the patient?
If you're an active, enrolled Medicaid provider, it is only legal in Minnesota to bill the patient for services not covered by Medicaid. If it's a covered service, they're a covered recipient and you're a covered provider, you must accept Medicaid payment as payment in full
If you have medicaid or other health insurance can a medical provider file a lien against the bill instead of billing Medicaid or the health carrier?
A provider is not required to accept Medicaid or private insurance. However, if the provider indicated to you that s/he was doing so in your case, there's at least an ethical problem. In Illinois, a provider who accepts a patient as Medicaid cannot bill the patient if Medicaid fails to pay due to the provider's negligence in billing.
If you were ever a Medicaid patient and lost it does the doctor have to honor the Medicaid allowed amounts?
A doctor or other provider who accepts you as a Medicaid patient (i.e., agreed to bill Medicaid for your care) is required to accept Medicaid's amount as payment in full. (However, you might have a co-pay.) In Illinois, a provider who accepts you as a Medicaid patient cannot demand payment from you if Medicaid does not pay due to the doctor's failure to bill Medicaid timely and properly. Your State might have a similar rule.
Are Medicaid providers required to take payment from medicaid only for Medicaid patients?
i am a provider in Michigan, a have residents in the home who i am not receiving title 19 money monthly. Providers are not required to accept Medicaid patients. However, a provider who treats someone as a Medicaid patient is required to accept the amount Medicaid pays as payment in full and, except for co-pays, cannot bill the patient.
If you are on Medicaid is bill ever denied?
Medicaid may deny a claim for any one of a number of reasons: submitted too late; service not covered or needs prior approval; clerical error such as procedure code doesn't match description of service, etc.When this happens, you are responsible for the bill. However, in Illinois and perhaps other states, you may ask Medicaid to review the bill. In Illinois, you are not responsible for a bill if the provider accepted you as a Medicaid patient and Medicaid denied the claim due to the provider's error(s).
How does Medicaid pay when there is other Insurance involved?
The provider must give Medicaid proof that the other insurance carrier (including Medicaid) has "adjudicated" the bill. Medicaid will then pay any remaining eligible charges, to the extent that it would have paid had the patient not had any other insurance.
NJ Medicaid used in other countries?
Yes, if the provider is willing to bill NJ Medicaid for the service.
Can you balance bill a Medicaid patient for out of state Medicaid?
Except for co-pays, Medicaid payment is generally considered payment in full.
