I hesitated to respond to this because each carrier is going to handle it differently. With Aetna, my experience has been that they don't include exam codes in the chiropractic $ amount allowed. That may explain some of it. Medicare, don't mess with, send it back.Blue Cross will find it, so beat them to it.Always re-pay W/C.The best advice I've seen is to call! They'll let you know if it was correctly paid.
. Would you normally not even bill to "see if they'll pay" if it's suspected that the benefits max has been met?