annapadgett
New
Hello. Our psychologist is billing 96133*1 on the last date of service when supplying feedback session w/ client. UHC is denying this stating it's an add-on code. UHC is the only carrier denying when we submit this way. Any advice on what we are doing wrong? See below for example of claim submitted.
Second UHC Issue: 96137 denied. Per UHC 96137 not approved for payment. I appealed as original denial indicated we exceed the frequency. Submitted appeal w/ UHC's policy stating frequency policy and proof we did not exceed. Received denial to appeal stating: we reviewed the documentation and no further payment will be made. Claims denied per benefits.
Thank you in advance!!!!!!!!!!!!!!!
| 03/03/2022 | 90791 | 1 | $ 375.00 |
| 04/14/2022 | 96136 | 1 | $ 375.00 |
| 4/14/2022 | 96137 | 9 | $ 1,575.00 |
| 4/22/2022 | 96137 | 2 | $ 350.00 |
| 4/22/2022 | 96132 | 1 | $ 375.00 |
| 4/22/2022 | 96133 | 7 | $ 2,625.00 |
| 4/28/2022 | 96133 | 1 | $ 375.00 DENIED for billing add on code |
Second UHC Issue: 96137 denied. Per UHC 96137 not approved for payment. I appealed as original denial indicated we exceed the frequency. Submitted appeal w/ UHC's policy stating frequency policy and proof we did not exceed. Received denial to appeal stating: we reviewed the documentation and no further payment will be made. Claims denied per benefits.
| 1/31/2022 | 90791 | 1 | $ 375.00 | PD |
| 2/17/2022 | 96136 | 1 | $ 175.00 | PD |
| 2/17/2022 | 96137 | 7 | $ 1,225.00 | Denied |
| 2/24/2022 | 96137 | 4 | $ 700.00 | Denied |
| 3/17/2022 | 96137 | 2 | $ 350.00 | Denied |
| 3/17/2022 | 96132 | 1 | $ 375.00 | PD |
| 3/17/2022 | 96133 | 8 | $ 2,625.00 | PD |
Thank you in advance!!!!!!!!!!!!!!!