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Why and When to Appeal
Coding to Avoid Denials
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30 days administrative amount appeals process available online BCBS beneficiary Blue Shield charges claim clinical coinsurance compensation CONTACT INFORMATION copayment copy coverage covered CPT code Cross And Blue Current Procedural Terminology date of service decision denial denied determination diagnosis dispute DME Regional Carrier Durable Medical DME durable medical equipment employer EOMB Equipment DME ERISA federal fee schedule HCPCS health care provider Health Maintenance Organization health plan hearing officer HIPAA Home Health Home Office Blue Hospice Regional Home hospital ICD-9-CM code INC PO BOX Information is available Ingenix insurance carrier Insurance Company managed Medicaid Medical DME Regional medical necessity medical record medical services Medicare Carrier Medigap modifier MUTUAL INSURANCE Office Blue Cross paid party patient payment Phone Number physician Preferred Provider Organization procedure code received Regional Home Office reimbursement ROSE.VOYLES@PGBA.COM Shield Of South Signature Stamp South Carolina specific submitted surgery treatment workers