Wiki Blue Medicare Enhanced HMO & Blue Medicare Essential HMO

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shortee3810

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Raleigh, NC
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I work for an orthopedic office and we are having trouble with the above insurance on them paying for hand/fingers/wrist splints that is given by therapy. The frequent codes we use are L3923, L3913, L3908, L3809, L3925 etc. Patients have called Blue Medicare Enhanced/Essential HMO to see why claim denied and was told that it was coded wrong. When I called the insurance company to see what they mean about coded wrong they could not tell me. Does anyone work for an orthopedic office and have come across this with the above insurances and know of any resolution to this scenario?
 
shortee3810 said:
I work for an orthopedic office and we are having trouble with the above insurance on them paying for hand/fingers/wrist splints that is given by therapy. The frequent codes we use are L3923, L3913, L3908, L3809, L3925 etc. Patients have called Blue Medicare Enhanced/Essential HMO to see why claim denied and was told that it was coded wrong. When I called the insurance company to see what they mean about coded wrong they could not tell me. Does anyone work for an orthopedic office and have come across this with the above insurances and know of any resolution to this scenario?
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What diagnosis codes are being billed?
 
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