Good morning,

Are any providers having issues with Optum bundled claims that had dates of service Sept through Oct 2023? I have a claim that is continuously deleted out of Optum's system due to diagnosis code being invalid. The diagnosis code is G20. I spoke with our coder and she recommended updating the code to G20A1 since that was effective 10/1/23. We tried that same reason for them deleting it: diagnosis code invalid. I have tried appealing the claim. I have tried having management review the claim they recommended sending the claim via fax with G20 diagnosis code. It again was deleted. The rep I talked to this morning recommended taking the G20 out of the primary diagnosis spot and moving it to a different spot on the claim and using a different diagnosis code as the primary diagnosis. This doesn't sound right to me we shouldn't have to change the primary diagnosis code just because their system is not wanting to process the claim. Does anyone have any recommendations on how to resolve this? I really would appreciate any guidance anyone would have I am out of ideas at this time!