Follow up - Do Not Give Up! Please call them
Have you called Health Advantage and ask them why? I found out the best way to deal with denials is to call them directly. Talk to someone specifically about the claim. I had a problem with a different insurance company(s) and it actually came down to them thinking I was offering an HPV vaccination like Gardasil when I was actually having a lab done to a patient to test for it.
Also when you code an HPV positive for screening it should be V73.81, 079.4 or if it is diagnostic you use whatever the code was assigned for the reason for the HPV to be done. So if it was LGSIL or ASUS or malignant neoplasm you will use whatever diagnosis code the physician ordered it to assign that diagnosis code.
Thanks for allowing me to offer my opinion on this,
Dana Chock, CPC-A, CCA, CANPC, CHONC
Anesthesia, Pathology, and Laboratory Coder
2013-14 Brainerd Lakes AAPC Chapter President