Carrier is denying treatment for no supporting medical documentation and we have reached out to the prescribing Dr. but no response has been received.
What is send a BDM request
200
Lidoderm 5% patch
What is Lidocaine 5%patch?
200
Celecoxib
What is Celebrex?
200
Which states can direct pharmacy care in our region?
What is Vermont, New York, New Jersey and/or Delaware?
200
What is the write off code for difference in AWP?
What is CA3
200
What would be a reason for an invoice to not be in the ebilling queue?
What is Maxor fill, compound or OTC, carrier not set up for ebilling at that time
300
Skelaxin
What is Metaxalone?
300
Diclofenac Sodium 1% gel
What is Voltaren Gel
300
Which state in our region requires the doctor to be authorized?
What is New Jersey?
300
What is the write off code for an unidentified carrier?
What is RE22?
300
Carrier is denying treatment based off an IME and doesn't show the patient is represented, what is the next step?
What is contact patient to see if they are represented or plan on obtaining representation?
400
Zyrtec
What is Ceritizine?
400
Naproxen
What is Naprosyn?
400
which state in our region uses a form 207?
What is Vermont?
400
What is the write off code for an IME/UR denial?
What is RE32?
400
Carrier uses Catamaran to process payments and advises that payment was issued to IWP on check number 71090874 - 4 months ago, however we do not show any payment posted
Review the 835 report to determine if the payment was issued on this check
500
Seroquel
What is Quietipine Fumarate
500
Alprazolam
What is Xanax?
500
Which states in our region do not have a fee schedule
What is Maine, New Hampshire, New Jersey
500
What is the write off code for an unauthorized physician?
What is CS11?
500
Carrier denied claim for total compensability and we have no law firm on file. We contacted the patient and no response has been received.