Author: wenour

Anthem Blue Cross Blue Shield Customer Service Phone Numbers for Providers

In order to identify the correct Anthem Blue Cross Blue Shield Customer Service and BCBS Provider Phone Numbers, first check the plan with the 3 prefix member ID given in the following BCBS Alpha Prefix List and then search the correct Anthem Blue Cross Blue Shield Customer Service Phone Numbers and BCBS provider phone numbers in the […]

How to Obtain Premera Blue Cross Insurance Prior Authorization

Premera Blue Cross Prior Authorization In Premera Blue Cross, you can’t submit the prior authorization request over the phone. You can submit the prior authorization request either through portal or Fax or through mailing address. First and a very important step is to Check whether the service codes requires prior authorization or not and this […]

How to Obtain Prior Authorization

We need to consider the following steps to obtain prior authorization before providing services or sending prescriptions to the pharmacy: First important thing is to check with insurance company or plans policy documents or formulary (Which you may see this information on particular insurance websites), whether any of your Medical service or Prescriptions requires authorization. […]

Pre Authorization

Pre Authorization is also referred as prior authorization or pre certification or Prior approval. It is a check used by the Insurance companies or third party payers before the health care service provided to the patient by providers. Pre Authorization is the process that health care providers has to determine if the health insurance company […]

Denial Code CO 11 The diagnosis is inconsistent with the procedure

Insurance will deny the claim as Denial Code CO 11 – The diagnosis is inconsistent with the procedure, whenever the Procedure code billed with an inappropriate diagnosis code. Diagnosis code (DX Code): Diagnosis code represents the description of the disease. These codes are assigned by medical coding department by reviewing the medical reports in the format […]

Denial Code CO 29 – The time limit for filing has expired

Insurance will deny the claim with Denial code CO 29 – The time limit for filing has expired, whenever the claims submitted after the time frame. All Insurances has set timely filing limit to submit the claims and they expect the claims should be submitted within that time limit, if not claims will be denied as […]

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