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Tobra Tobra is offline
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Join Date: Aug 2005
Location: Carmichael, CA
Posts: 53,773
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Like I said, if they did not put the right diagnosis code on it, all that stuff would get denied. For example, if I don't have a diagnosis code that would qualify a radiograph or the correct modifier for a second procedure on the same day, payment is getting denied.

Common misconception that insurance companies are in the business of paying for stuff. Actually, they are in the business of finding ways to not pay for stuff. I had them deny simple pre-op blood work before, after a stern letter they coughed up the dough.

Sorry, EOB/Explanation of Benefits-document that your health insurance is supposed to send you when they get a bill for something.

I think I was the only dumb SOB working on Friday.
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Old 07-06-2013, 10:37 AM
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