Payers
Medicaid Billing
State programs, managed care organizations, and dual-eligible claims.
Medicaid is fifty programs wearing one name. Eligibility, covered services, fee schedules, and enrollment all sit with the state, and most states then delegate claims to managed care organizations with their own rules.
This section covers what generalizes across states, where the differences bite, and how to handle dual-eligible patients without losing the crossover.
More on payers
Medicare, Medicaid, commercial and workers' comp rules, tracked payer by payer.
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