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incorrect denials

  1. K

    Billing Denied AWV to secondary commerical insurance?

    If a patient's annual wellness visit (G0439) is denied by Medicare because the patient has come in too soon and Medicare puts it to patient responsibility, should you bill it to their commercial secondary given that this is a code that only Medicare uses and covers? This is what they are doing...
  2. L

    Billing Medicaid patients for unpaid covered services?

    Hello, A private company that offers plans for patients that are found eligible for Masshealth (Medicaid) has been inconsistent with payment of services. We have quite a few patients that have claims that should be covered and the insurance company acknowledges their error in denying their...
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