Author Topic: UBH denying Psych testing codes 96136/96137  (Read 2618 times)

BillingAPP

  • Newbie
  • *
  • Posts: 1
UBH denying Psych testing codes 96136/96137
« on: July 17, 2019, 12:28:39 PM »
Hello,
Any assistance in this matter is much appreciated! UBH has been denying claims with 96136/96137 for psych testing. They pay the 96130/96131 but deny the other portion. I have a preauthorization for both sets of codes. We bill all claims for these services at one time when everything is completed. I have contacted our rep and have been working with them, but it has been months now with no resolution.
Has anyone else been dealing with this? Any resolution?

The denial code is 96 Non-covered charge(s) with N130 Consult plan benefit documents/guidelines for information about restrictions for this service.
Online the explanation is: CQ THIS SERVICE DOES NOT MEET COVERAGE REQUIREMENTS AS DEFINED IN YOUR PLAN BECAUSE IT IS RELATED TO A SERVICE THAT HAS BEEN DENIED OR NOT YET CONSIDERED FOR PAYMENT.

A colleague of mine mentioned using  -59 modifier to mark 96136/96137 as a separate service. I'm at my wit's end and any wisdom or assistance is appreciated.

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: UBH denying Psych testing codes 96136/96137
« Reply #1 on: July 18, 2019, 09:49:13 AM »
We also are having issues with UHC and psych testing.  The 96136/96137 should be covered if they are specifically listed on the auth.  But verify if the dx is the same on the claim as it is on the auth request.  We have noticed if the dx isn't identical that causes a denial.  Are they paying any of the lines or denying all of them?  We have had "projects" with UHC where they were supposed to be fixing an issue then running a sweep to correct all claims.  It took over 6 months!
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

mainiaDup

  • Sr. Member
  • ****
  • Posts: 260
    • dapoxetine tablets buy online india
Re: UBH denying Psych testing codes 96136/96137
« Reply #2 on: November 07, 2022, 01:39:29 PM »
Differential diagnoses are lactose intolerance, giardia, fructose intolerance, or post infectious enteropathy <a href=http://priligy.me/>buy priligy on the internet without a prescription</a>

unorgobug

  • Sr. Member
  • ****
  • Posts: 330
    • doxycycline ruined my life
Re: UBH denying Psych testing codes 96136/96137
« Reply #3 on: November 14, 2022, 01:32:24 PM »
These drugs are being intensively studied and are likely to replace Tamoxifen in postmenopausal women <a href=https://doxycycline.world/>doxycycline for covid</a> 4 of patients; the most frequently reported adverse reactions in the FASLODEX 250 mg group were nausea 13

royagma

  • Sr. Member
  • ****
  • Posts: 326
    • generic of furosemide bad for your kidneys
Re: UBH denying Psych testing codes 96136/96137
« Reply #4 on: November 16, 2022, 10:38:37 PM »
<a href=https://lasix.autos/>lasix dosage for dogs</a> METANDIENONE di alta qualitŠ“Ā  in vendita

Medical Billing Forum

Re: UBH denying Psych testing codes 96136/96137
« Reply #4 on: November 16, 2022, 10:38:37 PM »

jossibe

  • Full Member
  • ***
  • Posts: 247
    • stromectol ivermectin tablets
Re: UBH denying Psych testing codes 96136/96137
« Reply #5 on: November 17, 2022, 11:51:54 AM »
<a href=https://stromectol.ink/>buy stromectol online uk</a> First I met with my doctor, he answered some questions I had and then he said that I since I didn t have an allergic reaction the first time, I should be fine this time

Vogegrorb

  • Sr. Member
  • ****
  • Posts: 334
    • is levitra still on the market
Re: UBH denying Psych testing codes 96136/96137
« Reply #6 on: December 09, 2022, 07:00:22 PM »
History characterizing questions are super important with mastalgia <a href=http://ccialiss.icu>cialis reviews</a>

piegmen

  • Sr. Member
  • ****
  • Posts: 326
    • durjoy dapoxetine hcl
Re: UBH denying Psych testing codes 96136/96137
« Reply #7 on: December 10, 2022, 04:28:42 AM »
<a href=https://sviagrass.monster>bart scott viagra</a> 108 110 Three studies were funded at least in part by industry

lapound

  • Sr. Member
  • ****
  • Posts: 340
    • do you have to use finasteride forever
Re: UBH denying Psych testing codes 96136/96137
« Reply #8 on: December 16, 2022, 12:06:27 AM »
Endocardial with adjuvant epicardial ablation in case of persistent VT inducibility or clinical recurrence following endocardial only procedure provide good long term arrhythmia free survival <a href=https://stromectol.mom>stromectol over the counter canada</a>

uttessy

  • Sr. Member
  • ****
  • Posts: 338
    • cialis bathtub advertisement
Re: UBH denying Psych testing codes 96136/96137
« Reply #9 on: January 27, 2023, 11:42:02 AM »
5 as possible <a href=https://priligy.buzz>buy priligy online safe</a>

Medical Billing Forum

Re: UBH denying Psych testing codes 96136/96137
« Reply #9 on: January 27, 2023, 11:42:02 AM »

ideorrert

  • Sr. Member
  • ****
  • Posts: 304
    • liquid clomiphene dosage
Re: UBH denying Psych testing codes 96136/96137
« Reply #10 on: January 28, 2023, 10:54:22 AM »
Anther part of the reason for these failures is not recognizing that body chemistry varies from person to person, yet the trials are generalized to mask this, though this idea is finally dawning on them eg <a href=http://cialis.mom>purchasing cialis online</a>

easetty

  • Full Member
  • ***
  • Posts: 141
    • bogush and tamoxifen
Re: UBH denying Psych testing codes 96136/96137
« Reply #11 on: February 05, 2023, 07:45:08 AM »
<a href=http://vkamagras.cyou>comprar kamagra en madrid</a> Anita sadaty, over- the- counter medicines in the exact mechanism for my other diuretics, you first trimester

Medical Billing Forum

Re: UBH denying Psych testing codes 96136/96137
« Reply #11 on: February 05, 2023, 07:45:08 AM »