Hi, my name is Sandra work for the payor side as System Configuration Analyst, I'm also a CCS license and a Claims Examiner/Auditor.
Putting an addendum to the patient chart is a good practice and also support your claim for correction and future Audit, make sure to have doctor date and sign.
If your having the same problem with the same insurance/payor I suggest to pick up the phone and let them know that the provider of service works for both Family Practice (11) and an Urgent Care Facility (20), in this way they could put an alert in their system to the examiner that this provider practices for both location. Direct your call to the Contract Department/Supervisor or Manager.
As far as the patient, patient/member usually are not knowledgeable of what benefits they have, you or the person in charge just need to do some explaining to what is covered and what's not covered.
Hope this help...
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