Since the new year all of our claims have come back denied for contractual obligation (code 45). Even on clients that we did not have trouble with previously, we are now having issues with claims coming back this way. Mostly seeing this for code H2014 which is not covered, but we are not getting a denial that we can send to secondary.
I am wondering if there was an update or something that we missed and we are sending our claims to the wrong place? Has anyone heard anything?
If it matters, we preform outpatient mental health services in Minnesota.
We have had a nightmare of a time dealing with United Healthcare and the Optum side. Being one is behavioral health and the other is the actual insurance plan, you would think they communicate with each other.
Thanks in advance!
Customer support service by UserEcho