Clover is retracting tons of claims for the modifier used. I bill for a ambulatory surgical center. We bill 45380 with 43239 51 modifier. Clover is denying for the procedure code is inconsistent with modifier used 835 Healthcare Policy Identification Segment denial code actually means, and what loop 2110 REF. Has anyone else experiencing these retractions? Every other carrier we bill including Medicare process with no problem.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki CLOVER RETRACTIONS
- Thread starter selenasta
- Start date
OpenClaims
Guest
When coding this out, I'm not being prompted for a modifier. If you know for sure that you need one, maybe try an XU modifier instead of the 51?
Thank you, I wil remove modifier and send corrected claim and see what happens