If a participating provider submits a claim in excess of the maximum allowed in the fee schedule, the provider a. Can bill MCO for the balance b. Can bill the member C. Agrees not to collect the difference from either the MCO or member d. Agrees not to collect until the member pays the deductible

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter19: Billing And Collections
Section: Chapter Questions
Problem 5CR
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Question
If a participating provider submits a claim in excess of the maximum
allowed in the fee schedule, the provider
Can bill MCO for the balance
Can bill the member
a.
b.
C.
Agrees not to collect the difference from either the MCO or
member
d.
Agrees not to collect until the member pays the deductible
Transcribed Image Text:If a participating provider submits a claim in excess of the maximum allowed in the fee schedule, the provider Can bill MCO for the balance Can bill the member a. b. C. Agrees not to collect the difference from either the MCO or member d. Agrees not to collect until the member pays the deductible
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