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Denials for Maternity benefits - Traditional/FC MCD

C

cdeleon78

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Messages
4
Location
Lubbock, TX
We are having an issue receiving quite a few denials as a result of pt's not having or being eligible with their primary payor for maternity benefits, we then have to wait to get a denial from the primary w/the EOB to submit to the secondary (which is usually after delivery and after filing deadline). Our issue is that charges are not usually entered until after the delivery and by the time denial is sent there is not enough time to file the antepartum visit without being past appeal.

Does anyone have any thoughts on how we could get this issue resolved or a process to better workflow?

Thank you,

Cindy
 
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