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Politics : A US National Health Care System?
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To: skinowski who wrote (7523)7/14/2009 9:44:24 AM
From: i-node  Read Replies (1) of 42652
 
We often see changes in coverage or in billing requirements where nobody knows stuff changed. You just keep filing it as you always have and they deny it. At first you think they made a mistake and resubmit it, then you try changing things on the claim to make it go through, you call and get no help, before you know it six months has elapsed.

Happens all the time. A year or so ago they, out of the blue, started requiring certain lab results on some nephro/onco claims. It probably took on average six months for people to figure out what they wanted it and a couple more for me to figure out where they want the data on the claim and to get the software modified to provide that data.
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