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Wiki Outpatient Detox, Florida BLue

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Cavalier40

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Stuart, FL Sailfish Chapter
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There is an ongoing issue with Florida Blue where they will not pay for outpatient detox. It is a covered service by their home plan and it processes as biller error, but in actuality its due to Florida Blue assigning $0 on the fee schedule. There is no issue for Blue card plans in which the home plan prices, just when the local prices. Is there an appeal we can do? We bill S9475 under rev code 0944 or 0955.
 
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