Cigna Radiology Services Claim Submission

on . Posted in Commercial Insurances

Beginning with dates of service 08/01/2014, claims for in-office radiology services should be sent directly to Cigna, using the address on the back of your patient's Cigna ID Card, or electronically using payer ID 62308.  Historically these claims have been sent to MedSolutions.

If you have any questions about these changes, you can contact Cgina Customer Services at (800) 882-4462

Optum Health/Oxford Health Plans

on . Posted in Commercial Insurances

Optum has announced that effective July 31, 2014, consistent with AMA CPT Assistant’s December 2013 newsletter article, Physical Health will no longer require modifier -51 be appended to extra-spinal chiropractic manipulative treatment (CMT) procedural code (98943) when billed on the same date of service as spinal CMT code (98940-98942).

BCBS Update-Audiologists/Podiatrists

on . Posted in Commercial Insurances

Aug 16, 2013  Audiologist and Podiatrist Codes Updated

Horizon Blue Cross Blue Shield of New Jersey recently updated our claim processing system to ensure that benefits are being applied appropriately for certain services when performed by an audiologist or podiatrist.

The table below lists the CPT® and HCPCS codes that were updated in June 2013 to include the indicated specialty as "eligible" to provide that service.

Specialty Type

Code(s)

Audiologist*

99201 99202 99211 99212

Podiatrist

L2820

If your office received claim denials for any date of service for the above-listed codes, you may request a claim adjustment.

  • Call a Physician Services Representative at 1-800-624-1110, Monday through Friday, between 8 a.m. and 5 p.m., Eastern Time.

  • Submit a copy of our Inquiry Request and Adjustment Form (579). This form is available within the Forms page of HorizonBlue.com.

If you have questions, please contact your Network Specialist.

* Please note that codes 99203-99205 and 99213-99215 are not eligible for reimbursement when performed by an audiologist.

CPT® is a registered trademark of the American Medical Association.

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Welcome to Precision Billing & Consulting Services, LLC, a full service billing and consulting agency serving the entire nation.

Precision Billing & Consulting Services, LLC, allows you to save money while eliminating the headaches and worries of staying compliant with insurance regulations.

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Thursday, September 17, 2015

Focusing on the following specialties: Acupuncture, Chiropractic, Occupational Therapy, Orthopedic, Physical Therapy, Podiatry, Sports Medicine

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