I am having issues with one specific client who has a UHC private and DHS secondary. We are billing IOP services. The UHC denied for medical necessity up front but since DHS covers our services, we figured they would just be billed as secondary, especially since we had that physical denial.
The EOB's have been coming back from UHC stating "contractual obligation" instead of "patient responsibility." Due to this, secondary will not pay.
Has anyone else had this issue? Do you have any solutions?
Customer support service by UserEcho