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Mcal keeps denying claims as max allowed since they are bundling admin and J codes together on the claim but they pay very little on admin codes compared to other insurances. Is there some way to get them to process just J codes?
I believe the Mcal guidelines require a separate attachment listing out every admin code and the respective drug code in order to pay separately, additionally they require in the remarks if this was supervised by a physician in order to make the payment for all the lines. Check the guidelines, unless it has changed this year, that is what the manual required, at least for CA.