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Wiki Insurance taking money back

Thread starter Christal
Start date Aug 30, 2019

Create Wiki

Christal

Networker

Aug 30, 2019

I have a patient that BCBS TN took money back on from DOS 11/18. This claim was for new patient visit with allergy testing. We also mixed the allergy serum on the same DOS but was on a different claim. After calling BCBS TN and speaking with them I have a test code going against 95165. I have looked up the NCCI edits and can fix this but at this point with most of the claim being paid and money taken back on test code 95004, do I send a corrected claim or an appeal?

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