Medicaid Verification

[Missouri Public Health Association]

I’m just curious if everyone uses emomed ( MO Health Net) to verify coverage and if there is an additional carrier? I’m am getting several overpayments because emomed did not show additional carriers and the client had other coverage.

[Missouri Public Health Association]

Yes I do. If there is no additional carrier I call the client. If the client states they do then I notify medicaid so they can up date it. If the do not I call the MCP to let them know the other insurance has lapsed. Sometimes the MCP will want you to call emomed and inform them of the lapse as well.

[Missouri Public Health Association]

Thank you for your response. I think we are doing that at our front desk. I just had one especially creep up on me. We were getting remittance all along, then a denial and found out that she recently got additional coverage.

[Author]

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