It was for different dates of service. The BCBS rep told us only 2 providers were allowed to see the patient per week, or that 1 provider could see the patient twice in a week but any claim(s) beyond 2 per week would be denied. They also informed us because we are out of state, we have no ability to appeal the decision even though the provider is contracted with our state BCBS. Have you or anyone on this forum dealt with BCBS of MI and if so, can you offer any suggestions on how to appeal this?
Thanks.