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R45-R45.89 diagnostic codes

tbelcher 2 years ago in Payments/ERA Modules updated by sarah 2 years ago 1

Has anyone submitted them to a PMAP yet?  I'm submitting some test claims to see what happens.  Is is always comforting to know that PMAPs don't know what diagnoses work with your systems.  They just respond to denials.

We are waiting for our test claims to process. Definitely can't bill to PreferredOne commercial if they are primary. They deny at the clearinghouse. We are going to submit to MA for the denial and then call them about it, and see if we can get them to process them without the primary because of the clearinghouse issue. I'm guessing I am going to need a letter from PreferredOne stating they won't accept the codes.