DUPLICATE CLAIM

                                                

      

DUPLICATE (SAME PROVIDER) – REPORTS NOT AVAILALBE

Received denial from -------- for procedure code ----- for date of service ------ stating CO18 - Duplicate. We have same procedure code ------ for same date of service which was paid by insurance (Encounter# -------). Both claims were billed by Dr. ------- and diagnosis codes are also same. No reports attached in ICS and no modifier billed.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately. If coding is appropriate, please share the medical records with us to appeal the claim.

CLT 5 : CODING / BILLING

DUPLICATE (SAME PROVIDER) – REPORTS AVAILABLE

Received denial from -------- for procedure code ----- for date of service ------ stating CO18 - Duplicate. We have same procedure code ------ for same date of service which was paid by insurance (Encounter# ------ ). Both claims were billed by Dr. ------- and diagnosis codes are also same. Appropriate reports attached in ICS and no modifier billed.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately prior to we appeal the claim since appeal should be the last resort.

DUPLICATE (DIFFERENT PROVIDER IN OUR GROUP) – REPORTS NOT AVAILALBE

Received denial from -------- for procedure code ----- for date of service ------ stating CO18 - Duplicate. We have same procedure code ------ for same date of service which was paid by insurance (Encounter# -------). However, other encounter was billed by a different provider in our group, Dr. -------. No reports attached in ICS and no modifier.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately. If coding is appropriate, please share the medical records with us to appeal the claim.

CLT 5 : CODING / BILLING

DUPLICATE (DIFFERENT PROVIDER IN OUR GROUP) – REPORTS AVAILALBE

Received denial from -------- for procedure code ----- for date of service ------ stating CO18 - Duplicate. We have same procedure code ------ for same date of service which was paid by insurance (Encounter# -------). However, other encounter was billed by a different provider in our group, Dr. -------. Appropriate reports attached in ICS and no modifier billed.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately prior to we appeal the claim since appeal should be the last resort.

CLT 5 : CODING / BILLING

ONLY ONE CLAIM WITH US WITH NO REPORTS – BILLED BY DIFFERENT PROVIDER NOT IN OUR GROUP

Received denial from ------- insurance for procedure code ----- for date of service ------- stating CO18 - Duplicate. We do not have other service for the same date of service. Cld ------ @ -------- to verify the name of the provider who rendered the service, spoke with --------- said Dr. --------- was paid for the same date of service and rep refused to provide any other information. Ref # -------------. We do not have this provider in our group. We do not have reports attached in ICS and no modifier billed.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately. If coding is appropriate, please share the medical records with us to appeal the claim.

CLT 5 : CODING / BILLING

ONLY ONE CLAIM WITH US WITH REPORTS – BILLED BY DIFFERENT PROVIDER NOT IN OUR GROUP

Received denial from ------- insurance for procedure code ------- for date of service ------- stating CO18 - Duplicate. We do not have other service for the same date of service. Cld ------- @ -------- to verify the name of the provider who rendered the service, spoke with --------- said Dr. --------- was paid for the same date of service and rep refused to provide any other information. Ref # -------------. We do not have this provider in our group. We have appropriate reports attached to account in ICS and no modifier billed.

Please code review and advice if we can rebill claim with any appropriate modifier indicating services were rendered by our provider and we should be reimbursed separately prior to we appeal the claim since appeal should be the last resort.

CLT 5 : CODING / BILLING