Wiki HEALTHNE TDENIED CLAIM DUE TO CODING/BUNDLING SERVICES

[kemjunlimited]

We recently received denied claims from Healthnet due to coding/bundling services . The services are straight forward routine physical from ages 2 months and up. Does anyone have encountered the same issue. We are from California.. Please help.
see attached sample
jojo

 

[CBLENNIE]

Have you checked your diagnosis codes on the claim because based on the very last sentence of explanation code V255VDB references the line(s) billed with a secondary diagnosis in the first position.

This might not be the reason for the denial but it somewhere to start to figure out what is going on with this claim.

 

[kemjunlimited]

We recently received denied claims from Healthnet due to coding/bundling services . The services are straight forward routine physical from ages 2 months and up. Does anyone have encountered the same issue. We are from California.. Please help.
see attached sample
jojo

That what I was figuring it out. This is how it was billed in the claim form (Please see attached).
Thank you for looking in to it.
Jojo