OB Global Delivery?

Recently several insurance companies are giving us the run around. Normally with these carriers we bill 1 global code for care and delivery. We verify coverage from the insurance company web-site prior to billing these charges (we keep the print outs). However, several patients have lost their coverage literally days prior to their delivery. Termination is not discovered until after the billing. The insurance company will pay and several months later decide they paid in error. They take back the payment. The patients have Medicaid as a secondary insurance, which requires that we bill each visit and the delivery separately. The "primary insurance" will deny these dates of service going back beyond 4 months, which at this point includes many of the visits.

How are we supposed to bill this? Medicaid will not pay the global code or the individual codes without payment from the primary insurance.

Nasty!

That is quite a predicament.....

Why is the primary denying when you go back to bill them? Timely filing?
Have you tried sending them as a corrected claim instead of just refiling office visit? This should negate a timely filing issue.
OR
What about Antepartum care code for 7 or more visits? Could you use that and refile that as a corrected claim?
If either of those suggestions don't work, of course you can appeal all levels. Just don't wait too long. Also check your state law guide for regulations.
Will Medicaid pick up the delivery and postpartum care? Be sure to get your patient's involved in this. They need to share some of this burden.
Good luck!

Medicaid

where r u from. I am in mass and we bill the global codes and Medicaid covers it.