Billing > Billing

same day

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PMRNC:
A modifier will not help. I've NEVER seen any plan pay for more than one mental health visit in a day. Even emergency they will tell you the patient should have went to the ER.   The same goes for even billing an individual and group on same day, they will not pay.

PMRNC:
Just to add to that.. In the patient's policy booklet this is stated under mental health and substance abuse treatment or under exclusions, so you can bill the patient regardless of whether it's in network or out of network. sometimes the EOB will state that you cannot, however you can since it's a policy exclusion.

margemib:
Thank you for all the help!
margemib

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