Faith07
New
Some of our providers do PCM services but Anthem Blue Cross (CA) has been denying these indicating no fee schedule and advised us to appeal as a pricing appeal. I cannot find a policy around PCM with them and they could not refer me to one. Does anyone else have any information on Blue Cross and these codes? We were able to find a policy for another state where they don't cover but nothing for our state. This code is not always covered by insurance (such as Cigna) so i'm thinking they may not cover it. They have paid on some of the pricing appeals but not on others.
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