Hi,
I had a corrected medicare claim that was primary and a consult was billed out. The correction was made for a level 3 E/M. Medicare sent the corrected claim to the secondary insurance (Anthem) and now the secondary insurance wants to take back the difference between a consult and the level 3 E/M visit. What is the best method to handle this? Do I inform the secondary insurance that the visit was a consult and no take back is warranted. Also, would a simple phone call fix this or would I need to appeal it?
Thank you in advance.
Micki
I had a corrected medicare claim that was primary and a consult was billed out. The correction was made for a level 3 E/M. Medicare sent the corrected claim to the secondary insurance (Anthem) and now the secondary insurance wants to take back the difference between a consult and the level 3 E/M visit. What is the best method to handle this? Do I inform the secondary insurance that the visit was a consult and no take back is warranted. Also, would a simple phone call fix this or would I need to appeal it?
Thank you in advance.
Micki