Medicaid will pay co-insurance and deductible after Medicare. The Bureau of Family Independence decides if the Medicare B premium can be paid. Servicing Provider not allowed to bill directly. The number entered in 33 PIN is the servicing provider number, not the billing number assigned by the Provider File Unit. Social Services is not Medicaid eligibility.
All services require prior authorization.
Inquiry handles basic billing questions, billing instructions, questions about rejected claims and verifies valid diagnostic and procedure codes. Inquiry also handles questions about Medicaid covered services. The Provider Relations Unit handles Medicaid policy interpretation and complex billing problems. The Bureau of Family Independence determines eligibility and does change of address, date of birth, and name. They also handle questions about why a recipient's eligibility has ended.