Wiki GA Medicaid Denials for Qualifying Service

KHerron

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Grovetown, GA
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I have been seeing several claims when GA Medicaid is primary payer. For example, one claim is for a patient who is 21 years of age. We billed a 99213,25 with E11.69 and Z79.899 / 90471 with Z23 / 90673 with Z23 / 90480,59 with Z23 / 90673 with Z23. All lines have denied. From my past experience with Medicaid (which has been years ago so a lot could have changed), they should be paying for at least the office visit and vaccines. According to their portal the 90673 is on their fee schedule. I do not see the Covid vaccine listed though. Has anyone else see this who can help me out? Any guidance would be greatly appreciated!!
 
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