RaeToll
Networker
I realize this is a long shot but, has anyone billed newborn claims to California Health and Wellness? I've been getting denials as "payment included in allowance for another service".
I reviewed the CA Health and Wellness Global Maternity Package policy; however, it does not specify if the charges for the newborn hospitalization are also included in the mother's global package.
I reviewed the mom's claim, and it doesn't appear to have paid more than the expected amount.
I called and spoke to a representative and he stated he was unsure if the newborn charges were supposed to be included in the mother's allowance. He sent one of the claims back for reprocessing, but I don't want to waste time with these if the charges ultimately are supposed to be included in mom's allowance.
I reviewed the CA Health and Wellness Global Maternity Package policy; however, it does not specify if the charges for the newborn hospitalization are also included in the mother's global package.
I reviewed the mom's claim, and it doesn't appear to have paid more than the expected amount.
I called and spoke to a representative and he stated he was unsure if the newborn charges were supposed to be included in the mother's allowance. He sent one of the claims back for reprocessing, but I don't want to waste time with these if the charges ultimately are supposed to be included in mom's allowance.