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Claim Denials

C

ckeeney

Guru
Messages
197
Location
Edmonds, WA
This is specific to Indiana Anthem Medicaid: We have one Care Connect client in behavioral health whose claims are being denied since August of 2015 for Ordering/Referring/Prescribing or Attending Provider's NPI is missing or invalid. We have billed group therapy done by an LCSW under the supervising MD with the MD's info in Boxes 17 and 24J. We have also billed E/M services provided by the same MD. All are denying. The only response from customer service is that the claims are missing the limit class. No one seems to be able to tell us what that is or where it goes on the claim; not even so much as information is missing in Box ... If anyone can please help us we would be very appreciative.
 
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