Hello,
If a payer reimburses for a code at your full charge, and when you reach out to the payer you realize your allowable is higher than your charge, is it okay to send a corrected claim with higher charge on the code to maximize reimbursement for that service? If yes, can you send the corrected claim(s) only to that payer, if you didn't miss out on reimbursement from any other payers? (We would update the charge for all payers moving forward, but curious about going back.)
Thank you!
If a payer reimburses for a code at your full charge, and when you reach out to the payer you realize your allowable is higher than your charge, is it okay to send a corrected claim with higher charge on the code to maximize reimbursement for that service? If yes, can you send the corrected claim(s) only to that payer, if you didn't miss out on reimbursement from any other payers? (We would update the charge for all payers moving forward, but curious about going back.)
Thank you!