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allowables

  1. M

    Wiki Self Pay Discount

    If a patient is uninsured in the state of Kansas or Missouri, is there any law that would indicated what type of discount is to be given to the patient for any office exam's or procedures? Do we have to follow the Medicare allowable guidelines? Or would it be under the board of directors to...
  2. T

    Wiki Billing for Non Covered Services

    When billing for non covered services (hearing aids that are not a covered benefit) provided to a patient with a contracted insurance do I have to send a claim to the payor? Really it comes down to would the insurance have a contractual allowable for a non covered service? Yes, the patient...
  3. S

    Wiki PGx Allowables

    Does anyone have any PGx allowables from commercial payers they could share with me? I'm attempting to set up chargemasters for a lab and since Medicare is not currently covering these codes, I have been unable to find allowables. I'm looking for codes like 81400-81402, 81479, etc... Any help or...
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