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  • Wiki Aetna Medicare Denials LCD for office visit 99213 - AAPC
    You can view these edits on our Availity provider portal * We are also expanding our claim edits for E M services to our Medicare line of business with this update This expansion enhances our prepayment claims editing processes for coding policy rules related to correct coding of E M of levels of care for our Medicare members
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    Availity's patient cost estimator tool has not worked for a long time Availity support feature has not been able to to support us with this issue I am just tryimg to find are there other online alternatives that could provide this type of information?
  • understanding remark codes | Medical Billing and Coding Forum - AAPC
    And N152 - Missing incomplete invalid replacement claim information Again resubmitted like I usually do This is a Horizon BCBSNJ plan that we submit to our local Highmark (PA) I wanted to ask on Availity about these messages, but I don't know what "reason for " code to use - if is more a question than anything Any insight would be appreciated
  • Wiki Healthy Blue of NC (Medicaid Replacement - HMO) - AAPC
    Their insurance card has both an identification number and a member ID The identification number is the original Medicaid number and the member ID is the BCBS ID with an alpha prefix We were told the alpha prefix for Healthy Blue is GJN Using the BCBS ID, you should be able to pull up the patient and view the insurance card in Availity
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    IBX has no answers to this problem, Smart Data Solutions has no answers, our billing vendor has no answers, and Availity is nearly impossible to deal with There are no updates on any sites acknowledging this issue, although I was informed by our billing vendor that there are several other providers experiencing the same problem with this
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    Good day, I am currently in the state of Michigan and BCBS has gone to Availity as the source to check on things, but it is not an easy site to find things I have tried a few ways to try to get the new fee schedule for July of 2023, but it pulls up old articles from Blue Cross News The
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    I always call the payer and ask questions usually there is a more complex reason they are denying, for example I work in a Retina Surgery center, Excellus denied with a 107, I called to find out what the true issue was at first the rep told me that it was medical records that they needed upon further review because we have already sent records, Excellus was looking for us to complete step




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