Does anyone have experience in filling out Health Insurance Claim forms?
I called the insurance company and they cannot process a claim without a procedure and diagnosis code. I called the cryolab and they do not provide procedure and diagnosis codes. They will only send me an invoice.
What do I do?
I have been looking online and have found lists of codes. I just don't know the code for sperm.
Any help would be appreciated...
EDIT
Our insurance does cover sperm. (90% up to $5000). We have Uni.ted Health Care. I called the RE's office and the biller said she has never done it in her 25 years of billing. I did a little investigating online and I think the procedure code of 89343 should work with the standard 628.9 diagnosis. I called and left RE biller a message to see if she thinks that will work.
6 comments:
Does your insurance cover sperm? I'm not sure I've heard of one that has. (If it does, be sure to let me know which it is!)
Well, I'm not clear on what the claim is for...for buying sperm? Does your ins. actaully cover that? Diagnosis would come from your doctor and I would think someone at your RE's office would also be able to help you with billing codes.
i was jsut going to point you here https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp
You can look up CPT codes which are what most payers use for payment. I just looked up the mysterious 5 digit codes on my invoice from the RE to see what they were charging me for.
I'm with the same insurance company and have processed claims for donor sperm... I'd be happy to help. You can e-mail me directly at Purplelaurie55@aol.com or you can IM me if you have AOL/AIM
OMG, that is great! I had no idea any insurance company covered sperm. SOme offices here carry U.nited. wow!! That makes me want to call mine and ask.
Wow. Insurance that covers sperm! That's incredible. Good for you. Hope the code got all figured out. I had to call a friend who is a doc and another who is a pharmacist to help me figure out the coding for my HSG. The hospital had coded it as 'infertility' and it wasn't going to be covered. Had to recommend another code to the doc and she agreed and recoded it. It's all such a mystery.
Post a Comment