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Wiki Billing J1050 to BCN

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TYSON1234

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I need some help. Pt came into office, we provided injection and according to BCN "the claim has to show the correct national drug code, unit of measure and quantity for the item. I have called provider services and have gone on their website to see an example. If somebody could provide me with an example, I would appreciate it. For some reason, they're the only insurance that I'm having issues with. The other insurance companies have paid our claims.

Thank you!!!!!
 
Did you ever get your J1050 paid? I'm having this same issue with BCN and I've tried corrected the procedure code to J3490 which is what the crosswalk gives for the NDC but they're still denying....
 
I am only having the issue with certain NDC's because the patient came in a few different times for injection and those J1050 were covered. So don't think it's a medication benefit issue....
 
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