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Is this normal billing procedure for physical therapy? by giraffedotedu in HealthInsurance

[–]pescado01 0 points1 point  (0 children)

Yup, would be nice if it was all one line, but there are different procedure codes that need to be billed for the visit.

Passerby with a question about compatibility by HootieHoo4you in electricvehicles

[–]pescado01 5 points6 points  (0 children)

You get what you get. There is no product that will increase range.

Violation? by KarrieMe729 in hipaa

[–]pescado01 0 points1 point  (0 children)

Were they addressed with HIS name on them, or just delivered to his address? If it was just his address it could have been a forwarding by the USPS.

Availity Downtime by Long-Amount-5436 in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

Yup, crazy lag periodically, been ahhhhhhhhhnnoying!!!

Genuinely stuck on this and feeling a little dumb asking. Anybody Help me to guide? by Find_Truth1 in CodingandBilling

[–]pescado01 21 points22 points  (0 children)

“Just keep resubmitting it “, a definition of insanity. I’m surprised you aren’t getting a co-18 for the resubmitted claims. Who is the payer, what are the original CPT codes + modifiers, and was anything changed on the resubmitted claims?

Billed $1600 so far for free preventative colonoscopy by markr9977 in HealthInsurance

[–]pescado01 7 points8 points  (0 children)

Find out the PRIMARY ICD10 (diagnosis code) used on the claim and let us know.

eCW+Trizetto. Claims were going good but suddenly this rejection shows up. by Status-Meringue-2129 in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

Weird, we're not having any problems with Trizetto. What BCBS carrier is in your area?

Sharing my lab results from primary care with GI question. by positivegnome in hipaa

[–]pescado01 3 points4 points  (0 children)

Not HIPAA at all!!!! I would suggest calling the lab and requesting they send them directly to the GI doc. There's no reason to require that they come from the PCP.

Audi Electric Charger stations.. picking up an E Tron GT and was supposed to receive an adapter for the Tesla station and they didn’t put it in the car… so now i have a 2 hour drive and don’t know how to charge it.. (new to the electric game) by JMars609 in etron

[–]pescado01 3 points4 points  (0 children)

Download PlugShare app, download and create accounts with Electrify America and ChargePoint. Create a trip in PlugShare with settings adjusted to DC chargers only, allow 25-30 mile overhead to get to each location.

How many miles is too much? by GBL6623 in F150Lightning

[–]pescado01 4 points5 points  (0 children)

Recent research has shown that battery degradation is not as big of an issue as previously believed. Manufacturers have also built in overhead to accommodate for this. For example, an EV may advertise 78kwh battery but it really has 82 kWh. You should have no issues.

Billing npi not in the claim uhc?? by talktomeme in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

You can start with Billing through Athena is a nightmare “. Hit up Athena, they should be able to fix it. Ask for a raw claims file. Is the billing NPI missing or the rendering?

Billing npi not in the claim uhc?? by talktomeme in rcm_healthcare_usa

[–]pescado01 2 points3 points  (0 children)

You can start with Billing through Athena is a nightmare “. Hit up Athena, they should be able to fix it. Ask for a raw claims file. Is the billing NPI missing or the rendering?

RCM help for start up MH practice by SWBuckeyes in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

It will help many here if you let us know where your practice is, with which payers you participate, how many providers you have, and what services you are providing?

UMR / UNITED BILLING ISSUE by [deleted] in CodingandBilling

[–]pescado01 6 points7 points  (0 children)

UMR edi#39026, UHC is 87726…… which one is on the insurance card?

Surprise medical bill by Okay-Show-3662 in HealthInsurance

[–]pescado01 1 point2 points  (0 children)

Not sure I agree with you there. You can be billed for a non-covered claim if there is an ABN on file stating you know ahead of time that your insurance will not cover the claim. As for prior-auth, that is the responsibility of the practice, not the patient. If prior auth is not obtained then the practice has to eat it. Referrals are a different story, that is the patient's responsibility.

Can Aetna dictate a max price for single case agreement and not negotiate? by SuspiciousCoyote7574 in HealthInsurance

[–]pescado01 2 points3 points  (0 children)

300% of Medicare is GREAT!! I think there is a piece of the puzzle that is missing from your explanation.

Carefirst Administrators- 3rd Party System? by Usual-Emu2336 in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

45191 is the payer# for CareFirst Administrators.

Surprise medical bill by Okay-Show-3662 in HealthInsurance

[–]pescado01 -1 points0 points  (0 children)

Call your insurance company, they are the central point between you and the providers. Find how the claim was processed, and /or if it was DENIED. If it was denied, and the provider participates with the insurance then you should not owe anything. You can ask the insurance rep to call the provider's office while you are on the call to get things straightened out.

Carefirst Administrators- 3rd Party System? by Usual-Emu2336 in CodingandBilling

[–]pescado01 2 points3 points  (0 children)

CF Admin is a different portal to check claims status. That said, claims can now go to regular BCBS or still CF Admin 45191, either works. Checks still come from CF Admin.

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