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Reply #3: My niece works for one of the big health insurance companies. They outsourced most of their data [View All]

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54anickel Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Apr-30-09 08:26 AM
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3. My niece works for one of the big health insurance companies. They outsourced most of their data
entry, as most of them do. We were just informed by our health care provider that if we ask the doc a question about a specific ailment during our annual check-up, it will now be charged as a separate visit. Seems the insurance companies have implemented a new system that cannot take multiple codes AND, for some reason, it is now illegal for a doctor to change a code? I remember years ago that code changes were fairly common practice in an attempt to the insurance company to pay. The codes were pretty confusing and overlapped similar procedures. I guess they've managed to get someone to consider it insurance fraud. :shrug:

I was just talking to a friend about this and she got the same letter even though she has a different insurance and clinic. Wonder if they're all using the same data entry provider or same software package.
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