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    Good day, I am currently in the state of Michigan and BCBS has gone to Availity as the source to check on things, but it is not an easy site to find things I have tried a few ways to try to get the new fee schedule for July of 2023, but it pulls up old articles from Blue Cross News The
  • Adjustment Reason Code 107 | Medical Billing and Coding Forum - AAPC
    I always call the payer and ask questions usually there is a more complex reason they are denying, for example I work in a Retina Surgery center, Excellus denied with a 107, I called to find out what the true issue was at first the rep told me that it was medical records that they needed upon further review because we have already sent records, Excellus was looking for us to complete step
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    And N152 - Missing incomplete invalid replacement claim information Again resubmitted like I usually do This is a Horizon BCBSNJ plan that we submit to our local Highmark (PA) I wanted to ask on Availity about these messages, but I don't know what "reason for " code to use - if is more a question than anything Any insight would be appreciated
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    Anytime I code a J3301 - Kenalog - injection with injection CPT it kicks back in the system stating a 2410 loop This is the rejection: 06 15 2022 view less Payer Rejected J3301 H MISSING OR INVALID INFORMATION ADDITIONAL DETAILS WILL FOLLOW IF AVAILABLE (J3301) Missing or invalid
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    Health care professionals are obligated to stay current in their profession This includes continuing education in their respective discipline as well as keeping up with the latest medical coding updates, compliance rules, and government regulations
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