If MO HealthNet denies an authorization, but the patient wishes to continue to be seen, can the patient be billed the full fee?
If the PA is denied, the patient may be billed only if they have signed an agreement with the provider prior to services being rendered indicating that they will be responsible for payment for specific dates of service and procedures if not covered by MO HealthNet. The provider should complete and follow-through with all requests for information in the PA process to assure payment as appropriate.
