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Are our-of-state medical providers required to accept medical rates as established by the Massachusetts Division of Health Care Finance and Policy when they treat patients under Mass law?

April 26, 2017division health care Massachusetts medical rates

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Are our-of-state medical providers required to accept medical rates as established by the Massachusetts Division of Health Care Finance and Policy when they treat patients under Mass law?

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The DIA Reviewing Board has ruled, in the Tedeschi case, that out-of-state providers ARE bound by the rates set by Massachusetts. In an accepted case, providers that believe they have received less than they are entitled to should file a Third Party Claim/Third Party Notice Of Lien Form 115 .