Remark Codes
What does remark code CO-45 stand for?
What is: Contractual or OVER CONTRACTED FEE ARRANGEMENT.
What insurance company is notorious for stating: "Needs a reconsideration with medical records?"
Who is Coordinated Care
What adjustment code would you use, when the primary insurance pays more than the secondary MCO's allowed amount?
What is adjust code 200- Payor Contractual.
Who is Marley?
Who is Stephanie's daughter
What does remark code CO-16 stand for?
What is: claim lacks info needed for adjudication
What insurance company states that an appeal is needed for Clinical Edits?
Who is Molina
What adjustment code would you use when further follow up is cost prohibitive.
What is adjustment code 437- Follow Up Unwarranted
How many grandchildren does Kathy have?
What does remark code CO-4 stand for?
What is: CPT inconsistent with the modifier used
Who's automated message says: "if you were using chat right now we would already be answering yours claims questions."
Who is Amerigroup
What adjustment code would you use to identify proprietary charge cuts made by MCOs that do not follow the Medicaid non-covered fee schedule?
Example: AMG: CPTs 99354 - 99357
What is adjustment code 876- MEDICAID MGD MED POLICY DENIAL
How many siblings does Kenzie have?
What is 10 siblings
What does remark code CO-109 stand for?
Which CCC Rep is scared to answer our phone calls? (Thanks to Donell)
Who is Myron
What adjustment code would you use when an additional procedure was added to a surgery that wasn't on planning sheet (nerve block).
What is adjustment code 235- No Auth Unscheduled Service.
How many dogs does Alicia have?
What is three dogs
What does remark code CO-234 stand for?
What is: This procedure is not paid separately.
Which phone tree infamously transfers you to the incorrect state?
Who is Molina
What adjustment code would you use to adjust off self pay balances for deceased patients?
What is adjustment code 600- Compassionate Expiration
Which co-worker announced their pregnancy last year?
Who is Elizabeth