HI,
I have a patient that has Metroplus for most medical services except family planning/sterilization - that has to go to NYS Medicaid. She has a c-section and BTL on same dos. (in this case the BTL is an add-on code). Do I split the claim or send a claim with both codes to each carrier and let them pay what they are responsible for? I am not familiar with this scenario and am wondering if anyone has any experience with these carriers. I checked their respective sites, but didn't see any info re this particular circumstance.
Any help or guidance is appreciated.
Thanks!
Kathleen
I have a patient that has Metroplus for most medical services except family planning/sterilization - that has to go to NYS Medicaid. She has a c-section and BTL on same dos. (in this case the BTL is an add-on code). Do I split the claim or send a claim with both codes to each carrier and let them pay what they are responsible for? I am not familiar with this scenario and am wondering if anyone has any experience with these carriers. I checked their respective sites, but didn't see any info re this particular circumstance.
Any help or guidance is appreciated.
Thanks!
Kathleen