I have a situation where Humana/Tricare is downcoding a new patient office visit from a 99204 to a 99201. They are telling me that the reason is the patient filled out their own patient history form, and it was not filled out by the office. Does that make sense to anyone? They are telling me there is nothing I can do about it, that their say is final. It seems like I have read that the patient can fill out their own patient history form as well as their own review of systems. Any advise? I have never had this happen before and the really odd part is that the patient is a coder herself for the airforce and is the one who requested that Humana review the record, I think the patient just does not want to pay what she owes.