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Wiki BCBS Medicare HMO

Thread starter shortee3810
Start date Oct 7, 2024

Create Wiki

shortee3810

Networker

Oct 7, 2024

Can anyone give me some insight on billing hand splints for BCBS Medicare HMO? Below BCBS Medicare HMO does not require authorization if DME under $1200 but when we bill them for splints which is way under $1200 they do not pay for them. The EOB comes back with "consult plan benefit documents/guidelines for information about restrictions for this service... We have patient to sign waiver just in case they do not pay. Any suggestions will be greatly appreciated.

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