Pay and chase definition

Pay and chase means that the state pays the total amount allowed under the agency’s payment schedule and then seeks reimbursement from the liable third party. The pay and chase provision applies to Medicaid claims for prenatal care, for preventive pediatric services, and for all services provided to a person for whom there is court-ordered medical support.
Pay and chase means the provider bills IME or the MCO, even though the client has health insurance and IME or the MCO bills the insurance company. Medicaid allows “pay and chase” for certain situations, including when services are provided to:
Pay and chase means that the IME pays the total amount allowed under the Medicaid payment schedule and then seeks reimbursement from the liable third party. Pay and chase applies only to claims for:

Examples of Pay and chase in a sentence

  • This is referred to as “pay and chase.” Pay and chase is required or permitted in certain circumstances where there is a risk that if the SMA were to cost-avoid claims, providers might choose not to participate in the Medicaid program, in order to avoid dealing with the administrative burden associated with Medicaid cost avoidance claims processing requirements.

  • Pay and chase is utilized when the State Medicaid agency pays the medical bills and then attempts to recover from liable third parties.

  • Individuals must advise the Chair of their desire to offer such comment.

  • This is referred to as “pay and chase.” Pay and chase is required or permitted in certain circumstances where there is a risk that if the SMA were to cost-avoid claims, providers might choose not to participate in the Medicaid program, in order to avoid dealing with the administrative burden associated with Medicaid cost-avoidance claims processing requirements.

  • Pay and chase is an option for providers to bill Medicaid under certain conditions when there is a TPL policy on file.

  • The schedule could be longer or shorter depending on how all of the variables come together over time.


More Definitions of Pay and chase

Pay and chase means the provider bills Medicaid, even though the member has health insurance and Medicaid bills the insurance company. Medicaid allows “pay and chase” for certain situations, including when services are provided to:
Pay and chase means that the state pays the total amount allowed under the agency’s payment schedule and then seeks reimbursement from the liable third party. The pay and chase provision applies

Related to Pay and chase

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