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hmo managed care medicare

Lydia Posted Wed 06th of May, 2015 13:47:26 PM

if a pt does not notify its hmo that they moved out of area and is admitted as an emergency to out of area hospital can they be held responsible. Insurance is denying claim even after appeal on the basis that pt did not notify ins and hospital is out of area, they are aware that it was an emergency

SuperCoder Answered Thu 07th of May, 2015 05:23:23 AM

This question has already been answered.
Please find below the link of the same:
https://www.supercoder.com/my-ask-an-expert/topic/hmo-managed-care-medicare-4?replies=2#post-39093

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