| 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# |
Tags:
Global Denial