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Program Name: BadgerCare Plus and Medicaid Handbook Area: Physician
04/25/2014  

Coordination of Benefits : Commercial Health Insurance

Topic #604

Non-Reimbursable Commercial Managed Care Services

Providers are not reimbursed for the following:

  • Services covered by a commercial managed care plan, except for coinsurance, copayment, or deductible.
  • Services for which providers contract with a commercial managed care plan to receive a capitation payment for services.

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Wisconsin Department of Health Services
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