ahcccs

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    Wiki Code 11102 + 11103 Denying Under Physician's Assistant

    Medicaid plan through Banner University Family Complete Care is denying codes 11102 + 11103 with a PA on the claim stating "99353 AHCCCS P353: PROVIDER TYPE NOT ELIGIBLE." The claim pays however when we resubmit under an MD as opposed to the PA originally on the claim. This issue began in Jan of...
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    Wiki BILATERAL X-RAY

    AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows: 99203 (M17.12) - PAID 73562-LT (M25.562) - RECOUPED/DENIED 73562-RT(M25.561) - RECOUPED/DENIED We also have other claims that we billed different x-ray codes for bilateral areas with -LT and -RT that have...
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