New York Health First Claims Processing Issue
Michelle Quigg
Description
Collection
Title:
New York Health First Claims Processing Issue
Creator:
Michelle Quigg
Date:
10/22/2021
Text:
Good Morning to all my O&P Billers
Has any one else been experiencing claim processing issues with Health
First? Most if not all of my claims are getting partially paid with a
denial reason of Age Invalid for Procedure. This is crazy. None of the
HCPC codes I bill have age restrictions (Afo's, Kafo's etc..) I call
Health First and they have no clue. Integra is useless. I have been an
O&P Biller for 20 years and I have never seen this before. Even I'm
confused. Appeals take so much time but it shouldn't even get to that,
these are all clean claims. It is truly ridiculous and disgusting as to
what is happening.
Thank You
Michelle Quigg
Advantage Orthotics & Prosthetics, Inc.
Has any one else been experiencing claim processing issues with Health
First? Most if not all of my claims are getting partially paid with a
denial reason of Age Invalid for Procedure. This is crazy. None of the
HCPC codes I bill have age restrictions (Afo's, Kafo's etc..) I call
Health First and they have no clue. Integra is useless. I have been an
O&P Biller for 20 years and I have never seen this before. Even I'm
confused. Appeals take so much time but it shouldn't even get to that,
these are all clean claims. It is truly ridiculous and disgusting as to
what is happening.
Thank You
Michelle Quigg
Advantage Orthotics & Prosthetics, Inc.
Citation
Michelle Quigg, “New York Health First Claims Processing Issue,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/255609.
