• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Telehealth procedure code - UNITED HEALTHCARE REJECTION

Messages
9
Location
weeki Wachee, FL
Best answers
0
IIs anyone else experiencing denied claims for procedure code 93798 from UHC? They’re denying it due to non-payable diagnosis codes, even though the claims were billed with the payable DX codes per NCD guidelines. After speaking with two different claims representatives, I received conflicting reasons for the denials. The first rep said it was due to an invalid modifier (95) and suggested we bill with GQ instead, while the second rep said the issue was with POS 10 being invalid and advised using POS 11 for office. This is the only insurance denying our claims with procedure code 93798, and I suspect they’ve implemented an algorithm specifically to deny these services. Any assistance would be appreciated. Thanks!
 
Top