How to submit a claim when two identical procedures have been conducted
Question:
I submitted a claim for manual review because I had to do 2 arterial repairs but it looks like the Ministry rejected one procedure. How do I correct this?
Answer:
When two identical procedures have been conducted, the service code should be submitted with a quantity of 2. Submitting duplicate entries will cause rejection because the MoH assume it is a mistake. To correct this, you will need to submit an RA inquiry to change the quantity of the service code. The supporting documentation (e.g. patient notes) may be required.
paul.shortt2
How to submit a claim when two identical procedures have been conducted
Answer:
When two identical procedures have been conducted, the service code should be submitted with a quantity of 2. Submitting duplicate entries will cause rejection because the MoH assume it is a mistake. To correct this, you will need to submit an RA inquiry to change the quantity of the service code. The supporting documentation (e.g. patient notes) may be required.