I bill for a LMHC who has a potential patient. Primary is Medicare and 2ndry is BCBS (employer plan, not a supplement) The provider is in network for BCBS and is not in network with Medicare, as Medicare does not cover / credential LMHCs.
If I submitted a paper claim to NGS Medicare, would they actually issue a denial to pass on to BCBS? I know in the case of Licensed Acupuncturists, Medicare just ignores the claim and will not respond.
So, I am wondering if a LMHC in NY could actually submit to Medicare and receive a proper denial EOMB?
anyone know?
thanks!!!!!!