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99397 denial because of gyno exam

U

urbach34@yahoo.com

Networker
Messages
37
Location
Youngstown, OH
Anthem has been denying our 99397 for max benefits, and when our follow-up girl investigates it, she is finding that the patient's gynecologist has already billed 99397 this year. Is this just an error on Anthem's part, not acknowledging the diagnosis codes associated with the gyno exam and our primary care preventative exam? Is there something we should be doing differently on our end from a coding standpoint?
 
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