Hi puddinman,
Patient Inquiries can be sometimes time consuming especially with limited time with BCBS. I know that PR-106 is patient responsibility. Did BCBS (which state) provide a second or possibly a third adjustment code? From my experience the first adjustment codes provides endless opportunites when actually the second or even third adjustment code is what is actually needed to figure this denial out and NRP the patient. What procedure(s) were billed? That may be the key along with the state we are billing to provide an answer.
Thanks for listening,
Dana Chock, RHIT, CPC, CANPC, CHONC, CPMA, CPB
Coding Analyst (May 2018-present), Anesthesia, Pathology, Laboratory Coder (Fall 2012-May 2018), Denial Specialist (December 2012-December 2016)