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If a patient has Champva and is approved for Medicaid would Champva be primary or secondary?
Wiki User
∙ 12y ago
ChampVA is always secondary to private health insurance, EXCEPT to Medicaid. In that case it is always primary.
"Congress clearly has intended that CHAMPUS be the secondary payer to all health benefit and insurance plans... except in the case of a plan (Medicaid) administered under title 19 of the Social Security Act (42 U.S.C. 1396, et seq.)"
Wiki User
∙ 12y ago
Anonymous
yes
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If a patient has Medicaid coverage benefits and other health insurance coverage Medicaid would be primary or secondary?
Secondary.
If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?
WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.
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 and get other insurance will medicaid drop you?
no not always, They will become your secondary ins.. Meaning your primary ins will pay and whatever patient resp is left or whatever they don't cover. medicaid takes care of that
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.
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.
Can you charge a Medicaid patient if Medicaid does not cover procedure code?
No providing you are a credentialed provider with Medicaid
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.
Does tx medicaid cover braces after medicaid expires?
The patient must be Medicaid eligible on the date of service.
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.
Can you balance bill a Medicaid patient for out of state Medicaid?
Except for co-pays, Medicaid payment is generally considered payment in full.
If a patient has medicare primary bcbs secondary medicaid tertiary and medicare pays bu t bcbs denies for carve out Is medicaid now responsible for balance?
You would need to check the medicad policy if the claim is covered or if they will be the 3rd party insurance payee in this case.
