Here are the plans we are having issue with; part of our problem is identifying the plan
Any help is appreciated!
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Wednesday, September 7, 2022 4:22 PM
To: billers@list.mnhomecare.org
Subject: RE: BCBS Medicare payer ID 00720
Hi Mary,
Are you talking about the BCBS Medicare Advantage or Blue Plus MSHO (Medicare)?
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Mary Hanson
Sent: Wednesday, September 07, 2022 4:04 PM
To: billers@list.mnhomecare.org
Subject: BCBS Medicare payer ID 00720
|
**External Sender**
|
Hello!
Is anyone finding that BCBS MN Medicare episodes for payer ID 00720 are requiring prior authorization? We had a couple of clients that we successfully billed and were paid for without prior authorization but now claims have started being
denied saying “precertification/authorization/notification absent”. For some clients the requirements changed during the middle of their episode.
Along those same lines any help on how/where to submit an appeal to them?
Thank you!
Mary Hanson | Billing Specialist |
River Valley Home Care Inc.
916 8th Street Farmington, MN 55024
Phone: 651-460-4201
Email:
mhanson@rvhci.com
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