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medicaid secondary

  1. Default medicaid secondary
    Medical Coding Books
    A patient has Anthem primary with a $50.00 copay. The patient has medicaid secondary.
    Is it ok to collect $50.00 copay at the time of service? If not can you direct me
    to the written word about this. thanks

  2. #2
    Default Medicaid Secondary
    I do not know if there is anything written on this, but in my experience, if the patient has medicaid as secondary - you will need to bill medicaid for this copay. In my state, NH, medicaid does pay if the primary payer amount is more than what medicaid would pay, therefore the $50 would be adjusted off per medicaid. But Medicaid does need to be billed before any adjustments.

    I hope this helps!

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