AboutTricia Expertise Has your medical insurance company denied your claim and refuses to pay? Have
you received a pre-authorization and still your insurance company
refuses to pay? How can you get your insurance company to reverse a
denied claim? How do you get a provider to waive your copayment if you
are financially unable to pay? Can a provider sue you for a unpaid bill and
will they? Can a provider send me to a collection agency for a medical bill?
If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience In the medical field for over 20 years spending majority of time in the collections aspect.
Question i am moving back to florida in a month, and my dr here in ohio medicaid is coverd for a breast redcution .due to family history and pain i have in my back, neck, and shoulders. i am also to get a tummy lift due to pain in my hips and extra sagging skin that wont come off wiht excerise and i have lost 100lbs. im 31 yrs old.
i called and cant find a dr in florida that will acept medicaid like here in ohio. what should i do? what can i do or call? please help....thank you
Answer Hi Jan!
Every state is different and has different guidelines------just because Ohio Medicaid will cover this surgery other states may not.
Perhaps try to get the surgery done before you move or if you can not, call Medicaid in Florida and ask if they can locate a provider that may cover this if it is a coverable item in Florida.
Less and less Dr's and providers are Medicaid providers due to the very low reimbursement......so unfortunately each year you have less and less providers to chose from.
