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The Watercooler
Fighting with Dr Office - Hope I Did the Right Thing ?
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<blockquote data-quote="flutterby" data-source="post: 444183" data-attributes="member: 7083"><p>In Ohio (don't know if it's the same everywhere, but I imagine it is), if a doctor or medical facility takes you knowing you have medicaid, they cannot bill you for anything - even if medicaid denies coverage. For example, when I was supposed to go to the Cleveland Clinic, medicaid required prior authorization but my (former) neuro didn't get it. If Cleveland Clinic had seen me (I had an appointment), they couldn't charge me even though medicaid would not cover the visit, because they knew I had medicaid when they scheduled. Didn't matter that the neuro's office dropped the ball and didn't get the prior auth. </p><p></p><p>So, I'm wondering if the pediatrician's office was even allowed to charge you that few hundred dollars when they did. I would be calling your medicaid provider or social services worker to find out.</p></blockquote><p></p>
[QUOTE="flutterby, post: 444183, member: 7083"] In Ohio (don't know if it's the same everywhere, but I imagine it is), if a doctor or medical facility takes you knowing you have medicaid, they cannot bill you for anything - even if medicaid denies coverage. For example, when I was supposed to go to the Cleveland Clinic, medicaid required prior authorization but my (former) neuro didn't get it. If Cleveland Clinic had seen me (I had an appointment), they couldn't charge me even though medicaid would not cover the visit, because they knew I had medicaid when they scheduled. Didn't matter that the neuro's office dropped the ball and didn't get the prior auth. So, I'm wondering if the pediatrician's office was even allowed to charge you that few hundred dollars when they did. I would be calling your medicaid provider or social services worker to find out. [/QUOTE]
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Fighting with Dr Office - Hope I Did the Right Thing ?
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