Notes
Notes - notes.io |
Clemson Eye PA Newberry Clinic HMO/Medicare Advantage/Medicaid HMO ABSOLUTE TOTAL CARE 1 Patel OD, Diviyesh B 400298 Rebill 02/22/2019 02/21/2019 02/25/2019 02/25/2019 02/22/2019 92004 285 RCM AR McrMcaid HMO Med Adv RCM Client Patel OD, Diviyesh Newberry Clinic 02 2019
Clemson Eye PA Anderson Clinic HMO/Medicare Advantage/Medicaid HMO ABSOLUTE TOTAL CARE 1 Glaser MD, Donald P 578605 Billed 04/22/2019 04/22/2019 04/24/2019 04/24/2019 04/22/2019 99204 314 RCM AR McrMcaid HMO Med Adv RCM Tier 1 Milford OD, William Anderson Clinic 04 2019
Clemson Eye PA Anderson Clinic HMO/Medicare Advantage/Medicaid HMO ABSOLUTE TOTAL CARE 1 Glaser MD, Donald P 579124 Billed 04/22/2019 04/22/2019 04/24/2019 04/24/2019 04/22/2019 83861 46 RCM AR McrMcaid HMO Med Adv RCM Tier 1 Raynor NP, Elizabeth Anderson Clinic 04 2019
Clemson Eye PA Clemson Clinic HMO/Medicare Advantage/Medicaid HMO ABSOLUTE TOTAL CARE 2 Roman MD, Justin M 408194 Billed 03/07/2019 03/07/2019 03/11/2019 03/29/2019 03/07/2019 92133 35.52 RCM AR Secondary RCM Tier 1 CO45 Charges exceed allowed amount 03/22/2019 Forgnoni OD, Frank W (Station Clemson Clinic 03 2019
Clemson Eye PA Anderson Clinic Commercial AETNA 1 Garrett OD, Samuel D 453961 Billed 04/10/2019 04/10/2019 04/12/2019 07/18/2019 04/10/2019 99213 -15.54 RCM CLT5: Coding/Charge Entry RCM Tier 1 Coding CO45 Charges exceed allowed amount 04/16/2019 Garrett OD, Samuel D Anderson Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial AETNA 1 Easterling MD, Adam R 447146 Billed 03/28/2019 03/28/2019 04/01/2019 04/01/2019 03/28/2019 11900 107 RCM AR Commercial RCM Tier 1 N56 CPT invalid on DOS 04/10/2019 Easterling MD, Adam R Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Anderson Clinic Commercial ALLEGIANCE BENEFIT PLAN MANAGEMENT 1 Glaser MD, Donald P 578541 Billed 04/22/2019 04/22/2019 04/24/2019 05/19/2019 04/22/2019 92136 169 RCM AR Commercial RCM Tier 1 Glaser MD, Donald P Anderson Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial ALLEGIANCE BENEFIT PLAN MANAGEMENT 1 Smith MD, Alison E 387775 Billed 01/30/2019 01/30/2019 05/13/2019 05/13/2019 01/30/2019 92012 163 RCM AR Commercial RCM Tier 1 Smith MD, Alison E Greenville - Pelham Rd Clinic 01 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial ALLIED NATIONAL/GLOBAL CARE 1 Smith MD, Alison E 445837 Billed 03/26/2019 03/26/2019 03/28/2019 03/28/2019 03/26/2019 92012 133 RCM AR Commercial RCM Tier 1 Smith MD, Alison E Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial AmFirst Insurance Company 2 Sawyer III OD, Kenneth N 399206 Billed 02/20/2019 02/20/2019 02/22/2019 03/12/2019 02/20/2019 92134 17.6 RCM AR Secondary RCM Tier 1 MA01 You have the right to appeal 03/12/2019 Sawyer III OD, Kenneth N Greenville - Pelham Rd Clinic 02 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial ASSOCIATION AND SOCIETY INSURANCE GROUP 2 Brown OD, Eric W 446972 Billed 03/27/2019 03/27/2019 03/29/2019 04/08/2019 03/27/2019 99203 72.06 RCM AR Secondary RCM Tier 1 CO45 Charges exceed allowed amount 04/04/2019 Brown OD, Eric W Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Walhalla Clinic Commercial BANKERS FIDELITY 2 Montgomery Jr MD, Samuel J 397077 Billed 02/20/2019 02/15/2019 02/22/2019 03/12/2019 02/20/2019 99212 8.55 RCM AR Secondary RCM Tier 1 MA01 You have the right to appeal 03/12/2019 Jenkins OD, William P Walhalla Clinic 02 2019
Clemson Eye PA Saluda Clinic Commercial BCBS FEDERAL 1 Patel OD, Diviyesh B 412598 Unbilled 03/18/2019 03/15/2019 03/18/2019 92014 196 RCM ESC6: Credentialing RCM Credentialing Patel OD, Diviyesh B Saluda Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial BCBS LOCAL 1 Perumal MD, Balaji 577385 Billed 04/19/2019 04/18/2019 05/31/2019 05/31/2019 04/19/2019 15823 2500 RCM AR Commercial RCM Tier 1 N702 Decision Based On Review Of Previously 06/17/2019 Johnson MD, Brian R Greenville - Pelham Rd Clinic 04 2019
Clemson Eye PA Newberry Clinic Commercial BCBS PPO 1 Perumal MD, Balaji 401153 Billed 02/28/2019 02/22/2019 05/31/2019 05/31/2019 02/28/2019 92285 75 RCM AR Commercial RCM Tier 1 PR96 Non-covered charge(s) 06/13/2019 Perumal MD, Balaji Newberry Clinic 02 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial BCBS PPO 1 Glaser MD, Donald P 446877 Billed 03/27/2019 03/27/2019 03/29/2019 03/29/2019 03/27/2019 92132 92 RCM AR Commercial RCM Tier 1 N174 No covered service. Pt liability ltd 04/18/2019 Glaser MD, Donald P Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Clemson Clinic Commercial BCBS PPO 1 Johnson MD, Brian R 451580 Billed 04/05/2019 04/05/2019 04/08/2019 04/08/2019 04/05/2019 67028 420 RCM AR Commercial RCM Tier 1 CO45 Charges exceed allowed amount 04/15/2019 Johnson MD, Brian R Clemson Clinic 04 2019
Clemson Eye PA Saluda Clinic Commercial BCBS STATE 1 Patel OD, Diviyesh B 452249 Billed 04/10/2019 04/08/2019 06/14/2019 06/14/2019 04/10/2019 92250 135 RCM AR Commercial RC_Patel_Cred_BCBS RCM Credentialing Patel OD, Diviyesh B Saluda Clinic 04 2019
Clemson Eye PA Saluda Clinic Commercial BCBS STATE 1 Patel OD, Diviyesh B 413420 Billed 03/19/2019 03/18/2019 06/14/2019 06/14/2019 03/19/2019 92012 163 RCM DM7: RCM Services RCM Tier 1 N277 Missing other payer rendering prov ID 06/24/2019 Patel OD, Diviyesh B Saluda Clinic 03 2019
Clemson Eye PA Newberry Clinic Commercial BCBS STATE 1 Patel OD, Diviyesh B 406476 Billed 03/07/2019 03/05/2019 03/10/2019 06/14/2019 03/07/2019 92310L3 100 RCM ESC6: Credentialing Claim Review RCM Credentialing R24: Pending Information from Client N429 Not covered when considered routine. 06/27/2019 Riddle Jr MD, Harvard K Newberry Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial BLUE ESSENTIALS 2 Roman MD, Justin M 578995 Billed 04/22/2019 04/22/2019 04/24/2019 04/24/2019 04/22/2019 92014 88.98 RCM AR Secondary RCM Tier 1 OA23 Adjusted-chgs paid by another payer 05/31/2019 Roman MD, Justin M Greenville - Pelham Rd Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic HMO/Medicare Advantage/Medicaid HMO BLUECHOICE MEDICAID 1 Smith MD, Alison E 414553 Billed 03/20/2019 03/20/2019 03/22/2019 03/22/2019 03/20/2019 99204 314 RCM AR McrMcaid HMO Med Adv RCM Tier 1 Smith MD, Alison E Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Anderson Clinic HMO/Medicare Advantage/Medicaid HMO BLUECHOICE MEDICAID 1 Garrett OD, Samuel D 577574 Billed 04/18/2019 04/18/2019 04/22/2019 04/22/2019 04/18/2019 99213 136.7 RCM AR McrMcaid HMO Med Adv RCM Tier 1 Garrett OD, Samuel D Anderson Clinic 04 2019
Clemson Eye PA Anderson Clinic Commercial BLUECHOICE SC 1 Glaser MD, Donald P 415885 Billed 03/22/2019 03/22/2019 03/25/2019 03/25/2019 03/22/2019 92015 80 RCM AR Commercial RCM Tier 1 N429 Not covered when considered routine. 04/04/2019 Glaser MD, Donald P Anderson Clinic 03 2019
Clemson Eye PA Newberry Clinic Commercial CHAMPVA 1 Perumal MD, Balaji 390780 Billed 02/08/2019 02/05/2019 05/31/2019 05/31/2019 02/08/2019 99212 78.14 RCM AR Commercial RCM Tier 1 Perumal MD, Balaji Newberry Clinic 02 2019
Clemson Eye PA Clinton Clinic Commercial CHAMPVA 2 Montgomery Jr MD, Samuel J 390374 Billed 02/05/2019 02/04/2019 02/07/2019 05/31/2019 02/05/2019 92014 121.06 RCM ESC6: Credentialing RCM Credentialing Completed Automatically (System) CO85 Interest amount 05/10/2019 Montgomery Jr MD, Samuel Jacob Clinton Clinic 02 2019
Clemson Eye PA Clinton Clinic Commercial CHAMPVA 1 Stolz OD, Matt 404666 Billed 03/04/2019 02/28/2019 05/31/2019 05/31/2019 03/04/2019 99214 168.97 RCM AR Commercial RCM Tier 1 Stolz OD, Matt Clinton Clinic 02 2019
Clemson Eye PA Easley Clinic HMO/Medicare Advantage/Medicaid HMO Cigna Government 3 Mahlie OD, Nancy A 386969 Billed 01/29/2019 01/29/2019 01/31/2019 02/28/2019 01/29/2019 99212 42.75 OA23 Adjusted-chgs paid by another payer 02/27/2019 Mahlie OD, Nancy A Easley Clinic 01 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial CIGNA MEDICARE SUPPLEMENT 2 Easterling MD, Adam R 446572 Billed 03/27/2019 03/27/2019 03/29/2019 05/07/2019 03/27/2019 92014 121.06 RCM AR Secondary RCM Tier 1 PR1 Deductible amount 05/06/2019 Parisi MD, Joseph L Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Clemson Clinic Commercial CLEMSON ATHLETIC DEPARTMENT 2 Johnson MD, Brian R 413528 Billed 03/19/2019 03/19/2019 03/21/2019 04/04/2019 03/19/2019 92014 20 RCM AR Secondary RCM Tier 1 PR3 Copayment amount 04/03/2019 Murphy MD Tenley Erin Clemson Clinic 03 2019
Clemson Eye PA Newberry Clinic Commercial Combined Ins 2 Riddle Jr MD, Harvard K 576539 Billed 04/18/2019 04/16/2019 04/21/2019 05/08/2019 04/18/2019 92136 13.31 RCM AR Secondary RCM Tier 1 MA01 You have the right to appeal 05/08/2019 Riddle Jr MD, Harvard K Newberry Clinic 04 2019
Clemson Eye PA Newberry Clinic Vision Community Eye Care 2 Riddle Jr MD, Harvard K 455593 Billed 04/15/2019 04/15/2019 04/17/2019 04/17/2019 04/15/2019 92014 226 RCM AR Secondary RCM Tier 1 Riddle Jr MD, Harvard K Newberry Clinic 04 2019
Clemson Eye PA Newberry Clinic Commercial CONSOLIDATED HEALTH PLAN 2 Montgomery Jr MD, Samuel J 450016 Billed 04/03/2019 04/03/2019 04/08/2019 04/18/2019 04/03/2019 92014 34 RCM AR Secondary RCM Tier 1 PR1 Deductible amount 04/18/2019 Montgomery Jr MD, Samuel J Newberry Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial EMERITUS 1 Brown OD, Eric W 576667 Billed 04/16/2019 04/16/2019 04/18/2019 04/18/2019 04/16/2019 99213 110 RCM AR Commercial RCM Tier 1 Perumal MD, Balaji Greenville - Pelham Rd Clinic 04 2019
Clemson Eye PA Anderson Clinic Commercial EMPIRE BLUE CROSS BLUE SHIELD 3 Glaser MD, Donald P 326429 Billed 07/13/2018 07/13/2018 07/16/2018 08/14/2018 07/13/2018 92014 20 RCM CLT: Claim Prod Errors RCM Client Completed Automatically (System) ZCOR Zero Pay Correspondence 10/08/2018 Correspondence Anderson Clinic 07 2018
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial Empire Plan 2 Brown OD, Eric W 448648 Billed 04/01/2019 04/01/2019 04/03/2019 04/03/2019 04/01/2019 92014 24.21 RCM AR Secondary RCM Tier 1 PR204 No covered-service/equipment/drug 05/09/2019 Brown OD, Eric W Greenville - Pelham Rd Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Vision Envolve Benefit Options 1 Brown OD, Eric W 414359 Billed 03/20/2019 03/20/2019 03/22/2019 05/20/2019 03/20/2019 92015 80 RCM DM5: Coding/Charge Entry RCM Tier 1 CO6 CPT Inconsistent w/pt age 06/20/2019 DM5: Coding/Charge Entry Brown OD, Eric W Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Commercial Equitable Life And Casualty Ins 2 Brown OD, Eric W 449885 Billed 04/02/2019 04/02/2019 04/04/2019 04/25/2019 04/02/2019 99213 14.17 RCM AR Secondary RCM Tier 1 CO253 Sequestration - Reduction In Federal Pay 04/24/2019 Brown OD, Eric W Greenville - Pelham Rd Clinic 04 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Vision EYE MED 1 Brown OD, Eric W 448285 Billed 03/29/2019 03/29/2019 05/17/2019 05/17/2019 03/29/2019 92015 80 RCM AR Vision RCM Tier 1 Brown OD, Eric W Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Vision EYE MED 1 Brown OD, Eric W 415520 Billed 03/21/2019 03/21/2019 05/17/2019 05/17/2019 03/21/2019 92014 226 RCM AR Vision RCM Tier 1 Brown OD, Eric W Greenville - Pelham Rd Clinic 03 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Vision EYE MED 1 Sawyer III OD, Kenneth N 392705 Billed 02/07/2019 02/07/2019 05/16/2019 05/16/2019 02/07/2019 92015 80 RCM AR Vision RCM Tier 1 Sawyer III OD, Kenneth N Greenville - Pelham Rd Clinic 02 2019
Clemson Eye PA Greenville - Pelham Rd Clinic Vision EYE MED 1 Brown OD, Eric W 352010 Billed 10/15/2018 10/15/2018 10/17/2018 05/16/2019 10/15/2018 V2020 157 RCM AR Vision RCM Tier 1 ZZZ-Auto Complete By Nightly Job Greenville - Pelham Rd Clinic 10 2018
Clemson Eye PA Easley Clinic Vision EYE MED 1 Dodgens OD, Kara J 455745 Billed 04/15/2019 04/15/2019 04/17/2019 05/17/2019 04/15/2019 V2103 40 RCM AR Vision RCM Tier 1 Easley Clinic 04 2019
Clemson Eye PA Easley Clinic Vision EYE MED 1 Mahlie OD, Nancy A 455657 Billed 04/15/2019 04/15/2019 04/17/2019 05/17/2019 04/15/2019 V2020 116 RCM AR Vision RCM Tier 1 Easley Clinic 04 2019
Clemson Eye PA Easley Clinic Vision EYE MED 1 Mahlie OD, Nancy A 403506 Billed 02/27/2019 02/27/2019 03/01/2019 05/17/2019 02/27/2019 V2627 350 RCM AR Vision RCM Tier 1 ZZZ-Auto Complete By Nightly Job Easley Clinic 02 2019
Clemson Eye PA Clinton Clinic Vision EYE MED 1 Stolz OD, Matt 452970 Billed 04/10/2019 04/09/2019 05/17/2019 05/17/2019 04/10/2019 92015 80 RCM AR Vision RCM Tier 1 Stolz OD, Matt Clinton Clinic 04 2019
Clemson Eye PA Clinton Clinic Vision EYE MED 1 Stolz OD, Matt 449987 Billed 04/04/2019 04/03/2019 05/17/2019 05/17/2019 04/04/2019 92015 80 RCM AR Vision RCM Tier 1 Riddle Jr MD, Harvard K Clinton Clinic 04 2019
Clemson Eye PA Clinton Clinic Vision EYE MED 1 Stolz OD, Matt 447914 Billed 04/01/2019 03/29/2019 05/17/2019 05/17/2019 04/01/2019 92015 80 RCM AR Vision RCM Tier 1 Stolz OD, Matt Clinton Clinic 03 2019
Clemson Eye PA Clinton Clinic Vision EYE MED 1 Montgomery Jr MD, Samuel J 403646 Billed 03/01/2019 02/27/2019 05/17/2019 05/17/2019 03/01/2019 92014 226 RCM AR Vision RCM Tier 1 Montgomery Jr MD, Samuel J Clinton Clinic 02 2019
Clemson Eye PA Clinton Clinic Vision EYE MED 1 Riddle Jr MD, Harvard K 399443 Billed 02/21/2019 02/20/2019 05/17/2019 05/17/2019 02/21/2019 92014 226 RCM AR Vision RCM Tier 1 Riddle Jr MD, Harvard Keith Clinton Clinic 02 2019
Clemson Eye PA Clemson Clinic Vision EYE MED 1 Surratt OD, Justin H 445965 History 03/26/2019 03/26/2019 03/28/2019 03/28/2019 03/26/2019 V2520 -130 Clemson Clinic 03 2019
Clemson Eye PA Anderson Clinic Vision EYE MED 1 Garrett OD, Samuel D 449918 History 04/05/2019 04/02/2019 04/04/2019 04/04/2019 04/05/2019 V2520 130 Garrett OD, Samuel D Anderson Clinic 04 2019
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