Notes

SUMMACARE
Renshaw, Iva L inquiry
56575275 inquiry
56405329 inquiry
56369409 inquiry
56530515 inquiry
56405622 inquiry
56532228 inquiry
56214353 inquiry
56575309 inquiry
56580531 inquiry
56584657 inquiry
56582065 inquiry
56610275 inquiry
56601712 inquiry
56609077 inquiry
56626658 inquiry
56626674 inquiry
56625402 inquiry
56626532 inquiry
56417800 inquiry
56405899 inquiry
56610060 inquiry
56361639 inquiry
55835738 inquiry
56467008 inquiry

54224284 As per review and previous notes Checked eligibility and found, Medicare is effective as primary policy under policy id #292522130A. So insurance added in system, further checked we do not have valid documentation to bill to Medicare, Member need to be re-qualified, so coded claim as task
BERNING, LISA A
ECKLES, MARK H
FEEZEL, GREG D
DARRAH, AMY T
FRANKE, THOMAS D



58916216 Rebilled Reason: Modifier SubReason: Price Table Note: AS per EOB claim denied as CPT E0470 denied as modifier was not consistent on claim. AS per review CPT should billed with monthly modifier to insurance. So per insurance guideline claim need to re billed to insurance as CC after updating monthly modifier with "KI KX' modifier on CPT E0470. So did same, claim#172560201800324
59140499 AS per EOB claim denied as CPT E0470 denied as modifier was not consistent on claim. AS per review CPT should billed with RR modifier So per insurance guideline claim need to re billed to insurance as CC after updating monthly modifier with "RR' modifier on CPT E0470. So did same, claim#S253OHE00915
58669700 AS per EOB claim denied as CPT E0601 denied as modifier was not consistent on claim. AS per review CPT should billed with monthly modifier to insurance. So per insurance guideline claim need to re billed to insurance as CC after updating monthly modifier with "KJ KX' modifier on CPT E0601 So did same, claim#820192420039019
59140503 AS per EOB claim denied as CPT E0601 denied as modifier was not consistent on claim. AS per review CPT should billed with RR modifier So per insurance guideline claim need to re billed to insurance as CC after updating monthly modifier with "RR' modifier on CPT E0601. So did same, claim#S253OHE00914
58942134 As per EOB the claim is denied as it is not consisitent with the submitted modifier or missing a required modifier so we need to submit the corrected claim with the appropriate capped rental month modifier. so claim rebilled.Claim #172572165900986
58226074 As per EOB the claim is denied as it is not consisitent with the submitted modifier or missing a required modifier so we need to submit the corrected claim with the appropriate capped rental month modifier. so claim rebilled.Claim 172896460400753
58846477 Bill with rr kh kx modifier
58995859 As per review found claim denied as inconsistent missing modifier checked billing & found E0601 was billed with just RR, modifier, however it should have alway bill with KX and monthly modifier per insurance guideline, also validate from previous billing or rental, therefore refiled corrected claim with RR,KI,KX modifier, through system electronically.cLAIM#172612052600791
59006718 As per review found claim denied as inconsistent missing modifier checked billing & found E0601 was billed with just RR, modifier, however it should have alway bill with KX and monthly modifier per insurance guideline, also validate from previous billing or rental, therefore refiled corrected claim with RR,KH,KX modifier, through system electronically.cLAIM#172695848500689
59286510 As per review found that claim denied for missing or invalid modifier as we are billing claim with RRKX and it needs to be bill with RRKJKX So same has been added and resubmitted the claim. Claim#172961222400394
58730016 As per review found that claim is denied for inconsistent modifier but further checking found that the claim need to bill with E0562 with RRR KX modifier so need to rebill the claim with correct modifier. Claim#S254OHE34497
59047621 AS per review EOB clkaim denied as CPT E0570 denied as modifier was not consistent on claim. AS per review CPT should billed with monthly modifier to insurance. So per insurance guideline claim need to re billed to insurance as CC after updating monthly modifier with "KX' modifier on CPT E0570. So did same, claim#172685988100679














BIRD, CARLOS H reprocess
57918286 check availity
BURSON, FRANCES A satus
57811071 check availity
58092226 status
HALL, CHARLES L Calllll