ali2gark
Guest
Hi, a patient has private insurance primary which covers this providers' services however the patient has Medicaid as the secondary payer. This provider doesn't participate with Medicaid. Is the patient able to be billed for the deductible and co-insurance amount as the provider can't bill Medicaid? Or is there a legal/ethical issue? Does Medicaid ever pay a non-par provider in situations like this? Thoughts would be welcome.