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BCBS PMAP Claims Processing incorrectly

donna.monahan 1 year ago in Payments/ERA Modules updated by sadie.twite 1 year ago 1

Anyone else having issues with denials from BCBS PMAP through Amerigroup on Outpatient treatment denying when billing for multiple sessions? We have been having a lot of issues with this new BCBS PMAP Amerigroup arrangement.

We have noticed that they will pay several dates of service on a claim for OP services and then just adjust one whole date off as contractual adjustment for some reason. Is this what you are referring to?