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United Healthcare Oxford

WEBOxford has changed the reimbursement policy for Consultation services 99241-99245 and 99251-99255 effective 10/01/2019. These services

Actived: 3 days ago

URL: https://www.arlearningonline.com/2020/01/united-healthcare-oxford-consultation.html

United Healthcare Plans with correct Payer ID & Policy ID Format …

WEBWhen working on UHC plans, you would come across a scenario where the patient would be active on dos but still claim is rejected by the clea

Category: Health Go Health

227: Information requested from the patient/insured

WEBDenial Occurrences : This denial occurs when any information is requested from the patient such as COB or others. When information is reques

Category: Health Go Health

140: Patient/Insured health identification number and name do …

WEB140: Patient/Insured health identification number and name do not match ~ ARLearningOnline.

Category: Health Go Health

B9: Patient enrolled in a Hospice ~ ARLearningOnline

WEBHospice : When a patient is diagnosed with a disease that cannot be treated and has a life expectancy of less than 6 months then the patient

Category: Health Go Health

No Claim On File ~ ARLearningOnline

WEBOn call analysis and Scenario : When getting the status as no claim on file, always check the clearinghouse whether the claim was sent

Category: Health Go Health

242: Services not provided by network/primary care providers …

WEBDenial Occurrence : This denial occurs when the provider who rendered the service is not contracted with the insurance. In this scenario, th

Category: Health Go Health

197: Precertification/Authorization/Notification/Pre-treatment …

WEBDenial Occurrence : This denial occurs when authorization is not obtained for a service or treatment that requires authorization. Authorizat

Category: Health Go Health

Humana or Acacia Health

WEBHumana & Acacia Health insurances are the same. To bill the claim to Humana, it is necessary to have the correct policy ID that starts

Category: Health Go Health

288: Referral absent ~ ARLearningOnline

WEBDenial Occurrence : This denial occurs when the referral is missing. Referral number can be found on Box# 23 on the CMS1500 form or Locator#

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Medicaid Insurance Policy ID Format for All States of United States

WEBState Medicaid insurance must be billed based on the patient's state but in some cases, the patient has multiple addresses of different stat

Category: Health Go Health

109: Claim/service not covered by this payer/contractor. You must …

WEBOn Call Scenario : Claim denied as other payer is primary

Category: Health Go Health

Insurance contact number to check claim status ~ ARLearningOnline

WEBFor the contact number of Medicare Insurance click here If you want to add any insurance contact number to the below list, please share

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185: The rendering provider is not eligible to perform the service

WEB185: The rendering provider is not eligible to perform the service billed ~ ARLearningOnline.

Category: Health Go Health

31: Patient cannot be identified as our insured

WEBDenial Occurrence : This denial occurs when an incorrect patient name, Date of birth, or Gender is billed. On Call Scenario :

Category: Health Go Health

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