denied claim

  1. lamiller

    Wiki Denials CPT 45385 with 45380

    I am having a lot of denials from Blue Cross Medicare Advantage in Tennessee when billing 45385 and 45380 together. I have tried several different modifiers on 45380 including, 59, XS. XU and 59/51. The denial comes back stating claim specific negotiated discount. Anybody have any ideas?
  2. L

    AARP Medicare Supplamental Plan F and pre-existing condition denial

    I recently received a denied claim from AARP (Medicare supplamental plan F), DOS 03/15/18, for pre-existing condition. According to our records the patient had this AARP plan since 2005, followed by our office since 2013, and claims were paid by AARP (same Plan F). I called and spoke to a...
  3. A

    Wiki What is insurance claim denials and re-submission

    What are the best practices to reduce health insurance claim denials and resubmit / handle returned claims? I need to know about the process to help maximize claim approvals. Thanks.
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