Court: Provider Lacked Notice Of Mandate That It Appeal Health Insurance Denial

(September 19, 2017, 8:58 AM EDT) -- TRENTON, N.J. — While the state probably has the power to require health care providers to exhaust administrative remedies from health insurance companies before seeking Medicaid reimbursement, its failure to provide notice of such to a provider requires remand for further proceedings, a New Jersey state appellate court held Sept. 13 (Carrier Clinic-Patients, et al. v. Division of Medical Assistance and Health Services, No. A-4669-14T4, N.J. Super., App. Div., 2017 N.J. Super. Unpub. LEXIS 2288)....

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