Anyone else having all of your H2019 U1 and H2019 U1 HQ (DBT codes) denying from Aetna or BCBS PMAP for DOS in 2017? Aetna is denying CO 45 because the system is not recognizing the modifiers of U1 and U1 HQ. Similiar issue with BCBS PMAP, their new claims system is not reading the modifiers, so they are denying CO 96 bc they think it's a hospital visit. This impacts our clinic in a huge way. If you're having the same issues, please contact your BCBS rep and let them know so they will understand how big of an impact this is. We don't really have an Aetna rep, so I have no one to communicate this with, except calling to get the claims reprocessed, which I should not have to do!
Customer support service by UserEcho