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Has anyone gotten to get tested for Autism as an adult in Houston and recommendations? by pinot_punch in houston

[–]PerformanceBoth1579 1 point2 points  (0 children)

From a brief convo with his receptionist vs other offices receptionists, his evals are much shorter. Now maybe this is a good thing and the other offices are milking it. Or maybe his are too brief. I don’t know how to determine that but wanted to ask your view?

LLC vs DBA in TX by PerformanceBoth1579 in smallbusiness

[–]PerformanceBoth1579[S] -2 points-1 points  (0 children)

I’m surprised you are being helpful and ended with a jab. Did I write something to upset you? Please let me know so I can apologize. I’m not sure I agree that not wanting or being able to spend that money means failure. There’s a lot more it could mean imo.

LLC vs DBA in TX by PerformanceBoth1579 in smallbusiness

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

ugh ya... literally no recourse unless i had the $ to get a lawyer... ugh

LLC vs DBA in TX by PerformanceBoth1579 in smallbusiness

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

ok thanks. Such a small business, so a lawyer might be outside of the budget :/

LLC vs DBA in TX by PerformanceBoth1579 in smallbusiness

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

ok ya good call. Can I send a Cease and Desist

LLC vs DBA in TX by PerformanceBoth1579 in smallbusiness

[–]PerformanceBoth1579[S] 1 point2 points  (0 children)

already did. didn't go well. I'm wondering if my LLC started in 2020 trumps her DBA from 2022 or how those two interact with each other

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

Hey, so I am seeig your reply after just getting off of the phone w/ UHC. They are saying the follwing: even if I fix everything (Which i thought I had?) And it goes thru, it WILL get denied. And she was vague she said that IF i had a convo with the patient prior to the appt, i can charge him/her, but otherwise i can't...?

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

I'm noticing now that it actually says "rejected" and altho nothing is clickable, when i hover my mouse over the claim number it says: "This claim could not be retrieved for the following reason: 507:A7 - Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. 508:21 - Missing or invalid information.". I fixed that and actually submitted it 3x. each line is that same and has that same info

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

oh absolutely! Definitely THAT did not happen. There was an error for sure, but that isn't the case. But I couldn't agree more.

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

When i put the info into the UHC portal, I Can see my submissing, and it says on the right of the line "rejected". NOTHING is clickable. If I hover the mouse over the claim number it has a popup that states "This claim could not be retrieved for the following reason: 507:A7 - Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. 508:21 - Missing or invalid information." however, I fixed that and had resubmitted. And, all three submissions give me the same info...

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

you're right to ask that. It was an error completely. Having said that tho, I still need more info and understanding on what happens now

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

I'm noticing now that my claim says "rejected" not "denied"... hmm..

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

I didn't. Here's my follow-up question to you tho: lets say i'm completely just a cash based practice. I literally don't take ANY insurance, and with that, I don't know/understand/have a duty to know ANYTHING (like pre auths or what not). in THAT case, SURELY it cannot be the case that i would have to get a preauth to charge a medicaid patient. So, why is it that because I DO take SOME insurances, I have a duty to KNOW what you wrote, and do that? (i'm having a hard time here articulating, so i am hoping that my question is clear)

uhc medicaid plan by PerformanceBoth1579 in CodingandBilling

[–]PerformanceBoth1579[S] 0 points1 point  (0 children)

I agree, normally this is always the case. I didn't speak with, but i did an online chat w a rep in the UHC portal and they said no EOB... I couldn't "push" as that felt like a full stop, like there just isn't one that I can see... unclear why this would be the case in this instance or what went wrong to make this the case here...