It is strange since most insurances go by the first 2 (and sometimes first 3 diagnosis).
This does not mean the claims themselves aren't payable and multiple insurers have told us we just need to list something else first and resubmit the claim. We end up having to do this A LOT with new providers at our clinic until they understand the rules of each insurer.
This is completely not my specialty, but the vertigo is really the only thing a PHYSICAL THERAPIST could treat. Not ADHD, not depression, not PTSD. Did the primary doctor refer to P.T. for vertigo? Then that should be the diagnosis.
QuoteThis does not mean the claims themselves aren't payable and multiple insurers have told us we just need to list something else first and resubmit the claim. We end up having to do this A LOT with new providers at our clinic until they understand the rules of each insurer.In my situation I was told by Aetna we could change primary diagnosis but they of course couldn't tell us it would be paid, she said to mark it as corrected claim. Going to try it. I'm still not comfortable doing it, but I documented everything and we have authorization for the visit.
Certainly not a good thing to get into the habit of doing, but it works to straighten out issues where the provider just didn't know not to bill something primary or a policy was changed and we didn't receive the update quickly enough to alert the affected providers before claims started being denied.