Looking for some clarification on how to bill the following after we received an ins denial: patient transferred to our care from another practice which billed CPT 59425 to her ins. We saw the patient for 10 prenatal visits, did the delivery, and saw her for her postpartum visit.
I reached out to the ins (which is a local) to check their policy for billing this due to the denial which stated that the "benefit for this service is included in the payment for another" and the rep I spoke to had no idea on what their policy for this situation is or where to find it, and only recommended that I submit an inquiry with supporting documentation. Does anyone have any insite to how this should have been billed, or recommendations on where to find the info? This is a new one for me and I thought I had notes for this type of issue but I can't seem to find them!
I reached out to the ins (which is a local) to check their policy for billing this due to the denial which stated that the "benefit for this service is included in the payment for another" and the rep I spoke to had no idea on what their policy for this situation is or where to find it, and only recommended that I submit an inquiry with supporting documentation. Does anyone have any insite to how this should have been billed, or recommendations on where to find the info? This is a new one for me and I thought I had notes for this type of issue but I can't seem to find them!
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