Claim denied as Global in Medical Billing | ||
1 | May I know the Claim received date | |
2 | May I know the claim denied date | |
3 | May I know to which procedure code it is global | |
4 | May I know the date of service( which is applied global) | |
5 | May I know the global days for the procedure | |
If DOS<=global days | If DOS >global days | |
6 | Can we appeal with modifier | Clarify with insurance rep that after the global days only the service was performed and send the claim back for reprocess |
If yes | If No | |
7 | May I know the appropriate modifier for the procedure code. If rep provides then Call telephonic re-opening line update the modifier and send the claim back for reprocess | Can we appeal with Medical Records |
Appeal Limit and appeal address and appeal Fax# and attention to | ||
8 | May I know the claim# | |
9 | May I know the call ref# |