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Prolia med with injection- patient provides own medication

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Ruthie1972:
Hello,
WE have patients that provide their own Prolia and the charge is entered as .01 as a place holder but the ins company Martins point is still paying for this and then billing the patient for their co insurance.

Is there a modifier that needs to be added to let the insurance company know not to bill or pay for the medication when the patient provides it?

kristin:
I know of no modifier for this...the charge for the Prolia supplied by patient should be entered as a zero charge, not a penny. Is there a reason why this isn't being done?

Ruthie1972:
hi Kristin,
I was told it is just a placeholder, they do not actually get charged...do you think it would make a difference if it was a zero charge?

Michele:
I also think it should be a zero charge, or left off the bill completely. 

Ruthie1972:
Thank you both so much.

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