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(Solved): Using the EOB from Blue Cross/Blue Shield, why was the $300.00 not paid for services on 1/15/21 for ...
Using the EOB from Blue Cross/Blue Shield, why was the $300.00 not paid for services on 1/15/21 for John Jones? O 1) Patient had an office visit and procedure on the same day. The procedure is not paid separately and physician should have billed the RVU O2) This service is not covered and can be billed to the patient 3) The 11400 is bundled into the 99214 and cannot be billed separately O4) Patient had an office visit and procedure on the same day. Modifier 25 should be added to the 11400 and refiled with the insurance. Submit
Using the EOB from Blue Cross/Blue Shield, why was the $300.00 not paid for services on 1/15/21 for John Jones? 1) Patient had an office visit and procedure on the same day. The procedure is not paid separately and physician should have billed the 2) This service is not covered and can be bilied to the patient 3) The 11400 is bundled into the 99214 and cannot be billed separately 4) Patient had an office visit and procedure on the same day. Modifier 25 should be added to the 11400 and refiled with the insurance.
Provider: Healthcare Clinic NPI: 524875211 REASON CODES (RC): PR1 - Not a covered benefit, patient responsibility PR2 - Physician contractual discount per insurance contract PR3 - Service not paid separately PR4 - Deductible for year has been met, amount due by patient is 20% coinsurance PR5 - PPO plan, patient responsible for co-pay PR6 - 80/20 plan with deductible