Forum - Questions & Answers

Jan 27th, 2018 - bsrinivasarao777     3 

Inclusive denials

Hi, Empire BCBS Healthplus CHP insurance always denying CPT 81003,81002 service charges inclusive with E&M service.
Please suggest me is there any BCBS reimbursement policies regarding this issue?

Feb 7th, 2018 - ChrisW   256  1 

re: Inclusive denials

That denial is incorrect and has no logic, check your diagnosis code being reported, maybe it is throwing some type of error with their edits. I would contact Empire BCBS claims department, and if they can’t help you then contact your provider representative. There may be an error in their edits or a problem with a contract. The denial is not due to an NCCI edit or the test being inclusive with an E/M code.

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