swilliams2
Guest
Just wondering if anyone else is having this issue and if so how your office is handling it.
We are in Florida and bill all out of state BCBS plans to our local carrier. What we are finding is that out of state plans are rejecting a lot of our claims due to diagnosis. Specifically, when there are multiple diagnosis on a claim BCBS is only looking at the first diagnosis and not how we have them linked. For example:
99396 linked to V70.0
84443 linked to 244.9
They will pay the first line and reject the second stating the patients policy does not cover the 84443 with a routine dx. Clearly it is linked to 244.9 but they are only looking at V70.0.
We have to call and have the claim reopened and processed correctly but the problem seems to be getting bigger everyday!
Anyone else going through this?
We are in Florida and bill all out of state BCBS plans to our local carrier. What we are finding is that out of state plans are rejecting a lot of our claims due to diagnosis. Specifically, when there are multiple diagnosis on a claim BCBS is only looking at the first diagnosis and not how we have them linked. For example:
99396 linked to V70.0
84443 linked to 244.9
They will pay the first line and reject the second stating the patients policy does not cover the 84443 with a routine dx. Clearly it is linked to 244.9 but they are only looking at V70.0.
We have to call and have the claim reopened and processed correctly but the problem seems to be getting bigger everyday!
Anyone else going through this?