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Patients with Molina, Great Lakes, Omni Care , HAP and other

Zakari Posted Tue 27th of March, 2012 17:12:48 PM

Hi, When the Doctor visits nursring home patient who has Molina, or Great Lakes (United Health Care).... and the Dr. is not in network, how do we get paid for the service? Please advice?

SuperCoder Answered Wed 28th of March, 2012 08:44:52 AM

All out of network services must be preauthorized by Great Lakes or Molina Healthcare.
*****
Ref:
http://www.molinahealthcare.com/medicaid/providers/tx/pdf/non%20par%20provider%20manual%20pdf%20-%20071311.pdf?E=true

Zakari Posted Wed 28th of March, 2012 13:16:18 PM

Thank you.

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