hmsa

  1. kdabis808

    Wiki BH Claims Suddenly being denied by Local BCBS

    Hello, I bill for two BH providers who bill consistently w/ CPTs 90833-90838 and BH ICD 10 codes, now all of a sudden HMSA is denying claims for "not meeting payment criteria." Is any other BH provider's receiving the same denials??? Thank you in advance!
  2. C

    Wiki HMSA QUEST denies all CCM Codes

    Claims under HMSA Quest with CPT codes 99490 and 99439 have been denied, despite these codes being listed in both the Medicaid Fee Schedule and the HMSA Quest Physician Fee Schedules. Other Medicaid contracted payers, such as Alohacare Quest, Ohana Quest, and UHC Quest, reimburse these codes...
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