NESmith
Expert
I hope this is not a dumb question and if it is I am sorry but I have to ask.
A Neurologist bills a E/M using a Mental Hlth Dx(Generalized Anxiety Disorder)the patient's Medical Insurance is denying the claim stating the claim needs to be sent the the patient's Behavioral Hlth carrier and the Behavioral Hlth carrier is stating no this needs to be billed to the patient's Health Iinsurance, so now for my question. Is there ever a circumstance, in which the Behavioral Hlth carrier would be the correct payer for certain Neurology services, or should the Neurology claim ever be billed and/or paid by Behavioral Hlth benefits?it's very confusing when trying to appeal a claim and you truly do not know who the responsible party is suppose to be when both carriers are stating that it's the other carrier's responsibility.
Thanks for you help in this matter
A Neurologist bills a E/M using a Mental Hlth Dx(Generalized Anxiety Disorder)the patient's Medical Insurance is denying the claim stating the claim needs to be sent the the patient's Behavioral Hlth carrier and the Behavioral Hlth carrier is stating no this needs to be billed to the patient's Health Iinsurance, so now for my question. Is there ever a circumstance, in which the Behavioral Hlth carrier would be the correct payer for certain Neurology services, or should the Neurology claim ever be billed and/or paid by Behavioral Hlth benefits?it's very confusing when trying to appeal a claim and you truly do not know who the responsible party is suppose to be when both carriers are stating that it's the other carrier's responsibility.
Thanks for you help in this matter