Wiki PI 6 DENIAL

CODING1234

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I need clarification. Can a provider balance bill a patient for a PI 6 denial?
 
PI (Payer Initiated Reductions) is used by payers when it is believed the adjustment is not the responsibility of the patient but there is no supporting contract between the provider and payer.

If there's no contract, then you're not bound by the reduction.
 
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