Wiki Medicaid ER payments

camilleb

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109
Location
Arlington TX
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Hello,

It is my understanding that an out of network provider can be paid from TX Medicaid if he sees the patient thru the ER. I am having a time trying to get them to do so. The claim has the correct place of service: 23 and the doctor does not have a medicaid provider number because he is not contracted. Am I missing something else? Thanks in advance.

Camille, CPC
 
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