If a participating provider submits a claim in excess of the maximumallowed in the fee schedule, the providerCan bill MCO for the balanceCan bill the membera.b.C.Agrees not to collect the difference from either the MCO ormemberd.Agrees not to collect until the member pays the deductible

The medical policy must be followed by the MCO. The MCO administers the services that the employer…

Answered: If a participating provider submits a…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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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