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Discuss medicaid services scenario

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Medicaid Services Scenario

A patient received services performed by his primary care provider. The provider's office filed the claim and it was denied by Medicaid indicating that preauthorization was not obtained prior to the performance of the procedure. What recourse does the provider have to obtain reimbursement for the services performed? Will the provider be allowed to bill the patient? Why or why not?

Reference no: EM131761247

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