General Category > General Questions
fee schedules
Pay_My_Claims:
--- Quote from: PMRNC on July 20, 2009, 02:58:55 PM ---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!
--- End quote ---
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.
carnilent:
thanks for all your help ;D
PMRNC:
--- Quote ---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.
--- End quote ---
Really? I didn't know that. I've never had either one offer to do that when I called!! :-\ I'm going to have to make a note to ask them to do that.
Today I had something really funny happen. I got an EOB from one of my clients for just a typical 90801, the claim was submitted properly, the charge was $220, and the carrier (PHCNY) not only truncated the amount to $2200.00 but they paid $1650.00 ROFLMAO The office manager put a little note on it asking me if this was an early xmas bonus.. IF ONLY!
Of course we are sending the check back.. :-\
Pay_My_Claims:
lol, YES check out the website!!!
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 :-(
Michele:
I'm surprised that they went that way. I would have expected you to say they processed it as $2.20!
Michele
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