Hi I bill for a family practice. We are getting denials from Ambetter/Superior Health for our 90471 code. Here's an example
99214 25 mod Diag 1234
90674 dx 3(Z23)
90471 dx 3(Z23)
They will pay the 99214 and 90674 and deny the 90471 as Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. Do not use this code for claims attachment(s)/other documentation. At least one Remark Code must be provided.
Ive contacted them and they tell me we need to bill it correctly and of course they cant tell me how to bill. Im not sure what I'm doing wrong, can anyone help? thank you