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Old 12-28-2017, 03:00 PM
AZRWinger AZRWinger is offline
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Default Re: Report: Medicaid enrollment, costs swell under ObamaCare expansion

Quote:
Originally Posted by GottaGo View Post
Mmmmm.... private insurance negotiates payment rates (reimbursement) with medical providers based on groupings called Reasonable & Customary, sometimes based on zip codes, because not all areas have the same cost factors for procedures. Networks also have negotiations for doctors and hospitals.

Ever read your EOB?
Private insurance negotiates, Medicare dictates, see the difference? The former is voluntary, the latter mandatory.

Yes, I have reviewed my EOB, everyone should so they can reconcile them with the bills from medical providers.
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