Billing > Billing
Resubmission of claims with documentation
DMK:
Blue Shield of California has started to only pay one unit on 97000 codes. If I bill multiple units, they pay one unit only. I can get more paid if I resubmit with "appropriate documentation". Where do I mark on the paper claim "Resubmission w/ Documentation Attached"? I keep getting claims returned as duplicates even though I am writing "documentation to support medical necessity attached" on line #23. I keep seeing great stickers in the Amerifile catalog, but I don't know where they would go. On the claim or on the envelope?
Is it just me, or are insurance companies tweaking their rules often to avoid paying for services? And then it's next to impossible to find someone at the insurance company to talk to to verify their new requirements.
Please help!!!
Dina
Pay_My_Claims:
http://www.thoracic.org/sections/career-development/practitioners-page/practice-tips/articles/tip15.html
Do you write corrected claim on the top of the HCFA 1500?
DMK:
It's not a corrected claim. I billed it correctly the 1st time, they reduced the units of service. So it's a Resubmission with treatment notes attached.
Pay_My_Claims:
it doesn't matter they will still view it as a duplicate
Anytime I have to send additional documentation Insurance companys ask me to send in another claim with *corrected claim* written on the top. this serve as an alert for them to review
DMK:
Thank you! I will try that on three claims today!!!
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