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united healthcare denial
Michele:
Is it possible that this is a separate part of UHC that you are not in network with? What I mean is that sometimes you can be in network with an insurance carrier, but then they have a plan (or sometimes more than one) that is separate that you have to be par with in addition to the normal process. We have had that happen.
I would call and get someone on the phone and ask them to verify if you are in network. Then ask them to explain why, if you are in network, this claim was processed as if you were out of network.
Good luck
Michele
Michele:
All Medicare PT services require the GP modifier. I am not sure where you can find info specifically for modifiers for PT codes. We are actually working on such a product for different specialties, including PT.
Michele
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