Hello All,
We are getting denials for the codes 99203-99205 outpatient office/hosp. and 99221-99223 inpatient, Aetna is stating they only pay 1 provider of this group of codes per patient per day across all providers. The EOB message 005 states " we were previously billed by and paid another provider for svc". The question is: Has any other practice had this issue??? and if so, how was it resolved?? I tried reaching out to talk to a provider liaison and they don't get back to me. How can they just pay one physician especially hospital patients that see a multitude of doctors while in hosp.? Any guidance would will be appreciated
Thank you,
Donna S.
We are getting denials for the codes 99203-99205 outpatient office/hosp. and 99221-99223 inpatient, Aetna is stating they only pay 1 provider of this group of codes per patient per day across all providers. The EOB message 005 states " we were previously billed by and paid another provider for svc". The question is: Has any other practice had this issue??? and if so, how was it resolved?? I tried reaching out to talk to a provider liaison and they don't get back to me. How can they just pay one physician especially hospital patients that see a multitude of doctors while in hosp.? Any guidance would will be appreciated
Thank you,
Donna S.