How can I obtain the insurance companies' fee schedules? for united healthcare, blue cross, cigna, and aetna? I have medicare's already. thank you carnilent
I always ask the carrier for the fee schedule associated with the clients contract, that is to be sure the correct fees apply and are according to their geographical location..they CAN be different!
I know, and Cigna and UHC both go according to your tax-id. They look at your contract and load your fee schedule online, or email it to you.
Is it something in the water??? I have been dealing with BCBS regarding a patient claim dated 12/03/08 we billed out 24,188.00 The claim was split and there was another claim of 3699.00 BCBS had issues with the NU modifier on the e1010 and the e2377. They kept doing something with the claim and they "duplicated it" there was a claim in the system for 48,376.00 Well they paid 36K on the claim!! They had just paid on the smaller one of 3699.000 Regretfully we have to send about 18K back to BCBS :-(
I don't know what you mean by CO-45 or pr 45. Those sound like Medicare denials.