Quote:
Originally Posted by cyclelops
Have them resubmit the bill with a ICD 9 code that is applicable. Because it is inflammatory, they probably think it is going to get better and they don't want to pay for the shoes. It may be better to code it as polyneuropathy, period. Don't pay anything until they fight this thru, however, do keep an eye on late fees from the provider.
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THEY PAID FOR THE SHOES. It's the INSERTS they don't want to pay for. Can't change codes on that. The inserts have a specific code.
Guess what I did?. I went online and downloaded all the diagnostic codes. I have the codes for the shoes and the codes for the custom molded inserts.
We'll bring all this paperwork to the hearing and when the HMO says why they are NOT required to pay for the custom inserts, Alan will say "well, you weren't required to pay FOR THE SHOES BUT YOU DID!!!
Think the judge will say "Good job, I'm on your side" I'm ordering that they pay for the inserts. Think this might happen?
lol
melody