Dear Lord,
I absolutely know that we have talked about this issue till we are "blue in the face"......however, I bill for an LPC in Virginia. She now has (2) clients where Medicare is primary and secondary is BCBS. I have been billing one client using the GY modifier (fingers crossed) for about 1 1/2 years and BCBS pay!!! Now have a new client with same scenario and sent the claim with GY modifier - DENIED "Status: Finalized/Denial The Claim/Line has been denied.
Processed according to contract provisions (Contract refers to provisions that exist between the Health Plan and a Provider of Health Care Services). Status Date: 05/19/2015".....
I love this group and the different solutions you can find on this forum!! However, is there ONE rule to follow? I really am at my wits end of having this issue come up for the last 20 years. I have handled so many different ways to just get the claim paid. Does anyone have the one solution to this never ending problem, please help!!!
Thank you for taking time to read this - I really would appreciate more guidance on this issue.
Debbie
Debbie Gilbert
Ashburn, VA
703-729-6320