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According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be

According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be able to:

  • A. bill the patient directly.
  • B. charge the usual and customary fee instead of the discounted fee.
  • C. take legal action against the MCO.
  • D. terminate the MCO contract after filing a written notice of intention.

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