ljones88
Networker
Hi all,
We recently came across a few claims denials with Coventry. They are denying 92537 and 92538 as non-covered. Of course we have reached out to our provider reps to inquire when Coventry will have their systems updated but we are still pending a response from them. For now, we're sending appeals with supporting documentation from CPT showing the codes effective 1/1/2016. Since we're only in February we haven't received a resolution to the appeals we've sent yet.
Just curious, has anyone else come across this issue with Coventry or any other payers? We've successfully received notice from Simply Healthcare and Medica that they are in the process of updating their systems and will run internal reports to reprocess these claims.
We recently came across a few claims denials with Coventry. They are denying 92537 and 92538 as non-covered. Of course we have reached out to our provider reps to inquire when Coventry will have their systems updated but we are still pending a response from them. For now, we're sending appeals with supporting documentation from CPT showing the codes effective 1/1/2016. Since we're only in February we haven't received a resolution to the appeals we've sent yet.
Just curious, has anyone else come across this issue with Coventry or any other payers? We've successfully received notice from Simply Healthcare and Medica that they are in the process of updating their systems and will run internal reports to reprocess these claims.