Insurance Claim Denials and Coverage Verification

Contact BCBS to confirm if the service is covered under the patient's plan

Submit the claim with different modifiers for reconsideration

Submit the claim without any modifiers added (correct)

Bill the patient directly for the service

Appeal the claim with medical records if modifier 59 is already present on CPT code 92250 (correct)

Write off the claim as a disallowance and note the account details

Add modifier 59 to CPT code 92250 and submit a corrected claim

Inform the co-lead or lead if the appeal is denied or denial is upheld

Appeal the denial with the insurance company

Append modifier 59 to CPT code 92250 and send a corrected claim (correct)

Remove CPT codes 92134 and 92133 from the claim

Do nothing, as the denial is expected

<p>Confirm with the office if the service was stopped or reduced, and appeal the claim if appropriate</p> Signup and view all the answers

<p>The claim is being reviewed for adjudication</p> Signup and view all the answers