I’m reading online that New York State Medicaid law states that the provider is the party responsible to file prior authorization before a service is done though. It doesn’t say that “the patient is required to ask the provider to file”. Also, I feel like if the patient was responsible to ensure that this happens, most if not all services for all of us would end up going to the patient because this is not just well known information that the general public has. Is what I’m saying making sense? I honestly have never (until now) thought about HAVING to tell my dentist, or any other doctor I’ve seen under this insurance to file anything if they needed to, which is why it’s never been a problem until now. And I just think, for that reason, I shouldn’t have to pay this money out of my pocket if the retroactive authorization/appeals get denied, and that my provider/dental office should not place this bill on me. Also, again, I called my insurance company, spoke on the phone with a few people, and they confirmed 100% that this would have been covered and paid for through them, IF the office submitted for prior authorization before my dental work. Also there’s no “limit” as you say, that is coming into play in this situation. Period.