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J2919 for Commercial Anthem Payers

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jtimothy

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Jetersville, VA
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Is anyone having issues with Anthem not paying for J2919 (methylprednisolone sodium succinate/Solumedrol) for commercial Anthem? We have tried every which way we can think of to bill this code to have them pay and 90% of the time it's getting rejected. Our Anthem rep, such as she is, is no help with getting this resolved. We have tried with a JZ modifier (it is a single use vial), without the modifier, we have changed the unit of measurement from milligrams to milliliters which they require. We just cannot get this one code paid. Thanks!
 
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