FW: Payment problems with Blue Cross ACA PLans in NY?
Herb Shalant
Description
Collection
Title:
FW: Payment problems with Blue Cross ACA PLans in NY?
Creator:
Herb Shalant
Date:
9/3/2015
Text:
I HAVE HAD NOTHING BUT PROBLEMS WITH THE HANDLING OF BLUE CROSS/BLUE SHIELD
CLAIMS FOR PATIENTS WHO HAVE PLANS UNDER THE A.C.A. IN NEW YORK.
HAVE MANY OF YOU HAD SIMILAR ISSUES?
I GET DENIALS FOR THINGS LIKE THE MAXIMUM LIFETIME BENEFIT HAS BEEN
REACHED WHEN THERE IS NO MAXIMUM. DENIALS FOR NOT A COVERED SERVICE' FOR
ORDINARY AFO's, THEY WANT TO SEE A DIABETIC CODE FOR AN ORDINARY AFO SAYING
THAT ORTHOTICS ARE COVERED ONLY FOR DIABETICS.
ARE YOU HAVING SIMILAR PROBLEMS IN NEW YORK? PERHAPS ELSEWHERE TOO.
MAYBE THIS IS AN ISSUE THAT NEEDS TO BE ADRESSED ON A NATIONAL BASIS. LET'S
SEE THE RESPONSES.
HERB SHALANT CPO
WHITE PLAINS, NY
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CLAIMS FOR PATIENTS WHO HAVE PLANS UNDER THE A.C.A. IN NEW YORK.
HAVE MANY OF YOU HAD SIMILAR ISSUES?
I GET DENIALS FOR THINGS LIKE THE MAXIMUM LIFETIME BENEFIT HAS BEEN
REACHED WHEN THERE IS NO MAXIMUM. DENIALS FOR NOT A COVERED SERVICE' FOR
ORDINARY AFO's, THEY WANT TO SEE A DIABETIC CODE FOR AN ORDINARY AFO SAYING
THAT ORTHOTICS ARE COVERED ONLY FOR DIABETICS.
ARE YOU HAVING SIMILAR PROBLEMS IN NEW YORK? PERHAPS ELSEWHERE TOO.
MAYBE THIS IS AN ISSUE THAT NEEDS TO BE ADRESSED ON A NATIONAL BASIS. LET'S
SEE THE RESPONSES.
HERB SHALANT CPO
WHITE PLAINS, NY
---
This email has been checked for viruses by Avast antivirus software.
<URL Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Herb Shalant, “FW: Payment problems with Blue Cross ACA PLans in NY?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/237680.
