A/R Assessmen

Choose the appropriate status on the notes given: 07/12/2016 DOS 04/17/2016 9460 $214.00. Called Anthem BC @ 800-677-6669 sw Kay Cher ref#2016194280558 said the pt has not updated the COB info yet. Ltr was sent out on 05/15/2015 they have not rcvd anything from the member. Drop balance to pt.

Choose the appropriate status on the notes given: 07122016 dos12142015 cpt99238. Reviewed previous notes. Called Health comp@8004427247 sw Anna ref#claim#(215N9453600). Rep still unable to find the claim that was in the previous note. The status of the claim on her end was still applied towards provider discount. Rep advised that she will forward this claim to bc to see if there is a new pricing for this claim. Allow 2-3 weeks for follow up. claim#215N9453600.

Choose the appropriate status on the notes given: 07/12/2016 DOS 10/12/2015 ALL CPT CODE $285.00. Checked Availity per Anthem BC claim was submitted multiple times, the last claim was processed and dnd on 03/29/2016 stating The diagnosis billed does not agree with the age of the patient. Called ANTHEM @ 800-444-2726 sw George ref#2016194340429 he said DX Z00.00 is applicable to adult patients aged 15 - 124 years. For coding assistance

Choose the appropriate status on the notes given: 07/12/2016 DOS 02/8/2016 ALL CPT $205.00 Checked Availity, per Anthem BC claim was processed 07/01/2016 clm#16175BA3421 paid $106.74 chk#0122495163 issue date 07/01/2016. Breakdown of payment: 99394 paid $104.73 81002 paid $2.01 Recently paid claim.

Choose the appropriate status on the notes given: 07/12/2016 DOS 02/11/2016, cpt 99460, reviewed account, found bal is been rebilled to bc on 06/30/2016 but no notes why bal is billed again to bc, further review used web, per availity claim was processed on 05/23/2016, allowed $60.45 and applied to pt deductible, check system no other ins found, billed bal to pt, original claim#16084BA8648.

Choose the appropriate status on the notes given: 07/07/2016 DOS 11/11/2015 99214 $118.00. Checked western Growers Webportal shows claim was dnd on 01/12/2016 clm#1532926176 stating dx code invalid or incorrect, please resubmit dx code from attending physician. TFL to submit corrected claim is 60 days from 01/12/2016. TFL of 1 year if claim is not on file. Looks like there was never a corrected claim sent for this claim, we are beyond timely filing. For client assistance.

Choose the appropriate status on the notes given: 07/07/2016 DOS 11/11/2015 99214 $118.00. Checked western Growers Webportal shows claim was dnd on 01/12/2016 clm#1532926176 stating dx code invalid or incorrect, please resubmit dx code from attending physician. TFL to submit corrected claim is 60 days from 01/12/2016. TFL of 1 year if claim is not on file. Looks like there was never a corrected claim sent for this claim, we are beyond timely filing. For client assistance.