I have only had one person so far with the new Medica Medicare plan that has the group # A0061, and that is when I had similar issues.   So I billed using the Occ Code 50 and Value Codes 61 and 85 like I have on my Medicare claims.  Then my claims paid.

 

 

Marnie

Lakewood Health System Home Health & Hospice

218 894 8324

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Patti Fladwood
Sent: Thursday, May 13, 2021 2:58 PM
To: billers@list.mnhomecare.org
Subject: issues with Medica?

 

**External Sender**

 

Is anyone having trouble getting paid from Medica.  They are randomly paying some of our Advantage plans, and then denying most of our claims.  I bill with Occurrence code 50, with HCPCS codes.  Now they are denying with CO96 remark codes and when I call, I’m told we need place of service codes….where does that go on a UB04?

 

If you have any tricks, I would really appreciate it.

 

Thanks.

 

 

Patti Fladwood

BILLING SPECIALIST

OPTAGE HOMECARE

Presbyterian Homes & Services

2845 Hamline Avenue North, Roseville, MN 55113

Tel:(651)631-6198; Email: pfladwood@preshomes.org

Optage® is the home and community services division of Presbyterian Homes & Services.

 

optage

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